WISAM MARTINI MD PLLC NPI 1417113390

NPI Information

  • NPI: 1417113390
  • Provider Name: WISAM MARTINI, MD, PLLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 22811 GREATER MACK AVE
    SAINT CLAIR SHORES, MI
    ZIP 48080
  • Phone: (586) 778-4950

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NPI Details

WISAM MARTINI, MD, PLLC is a cardiovascular disease internal medicine in Saint Clair Shores, MI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. WISAM MARTINI, MD, PLLC NPI is 1417113390. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22811 GREATER MACK AVE
SAINT CLAIR SHORES, MI
ZIP 48080-021
Phone: (586) 778-4950
Fax: (586) 778-4952

The provider's authorized official is Wisam Martini .
The authorized official title is Owner and has the following contact phone number (313) 609-7310.

The enumeration date for this NPI number is 7/31/2008 and was last updated on 7/31/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineMICHIGANNo
2207RI0011XInternal MedicineInterventional CardiologyMICHIGANNo
3207RC0000XInternal MedicineCardiovascular DiseaseMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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