MINERVA MARTIN
NPI 1366205932
Dermatology - Procedural Dermatology in Romulus, MI

Active since February 05, 2024
11024 WAHRMAN ST, ROMULUS, MI 48174(313) 784-5550(313) 784-5550 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Minerva Martin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINERVA MARTIN (NPI 1366205932) is an individual procedural dermatology provider in Romulus, Michigan, licensed in Michigan (M635603014055) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1366205932
Entity TypeIndividualFemale
Primary Taxonomy207NS0135X
Provider Legal NameMINERVA MARTIN
Location Address11024 WAHRMAN STRomulus, MI 48174-3813
Mailing Address11024 Wahrman StRomulus, MI 48174-3813 · (313) 784-5550 · Fax (734) 941-6711
Fax(313) 784-5550
Sole ProprietorYes
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
NPI 1366205932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License Licensed in MI · M635603014055
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
11024 WAHRMAN ST, Romulus, MI 48174

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
11024 WAHRMAN ST
ROMULUS, MI 48174

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minerva Martin's NPI number?

The NPI number for Minerva Martin is 1366205932. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Minerva Martin located?

Minerva Martin practices at 11024 Wahrman St, Romulus, MI 48174. The listed phone number is (313) 784-5550.

What is Minerva Martin's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Minerva Martin was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.