IndividualActive
Alex Martin, D.O.
NPI 1083094676 · Diagnostic Radiology Physician · Grand Rapids, MI
Provider details
- NPI number
- 1083094676
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5101021626 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3264 N Evergreen Dr Ne
Grand Rapids, MI 49525-9746
Phone: (616) 363-7272
Fax: (616) 361-5828
Approximate (ZIP-level) locationGet directions
Mailing address
3264 N Evergreen Dr Ne
Grand Rapids, MI 49525-9746
Registry dates
- Enumerated
- 2015-06-09
- Last updated
- 2021-07-01
- Certified
- 2021-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.