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WISAM MARTINI, MD, PLLC
NPI 1417113390
Internal Medicine - Cardiovascular Disease in Saint Clair Shores, MI

Active since July 31, 2008
22811 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080(586) 778-4950(586) 778-4952 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wisam Martini, Md, Pllc NPPES

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

WISAM MARTINI, MD, PLLC (NPI 1417113390) is a healthcare organization registered as a cardiovascular disease in Saint Clair Shores, Michigan and active in the NPI registry since July 2008. The organization lists Wisam Martini, Owner, as its authorized official.

NPPES Registry Identity

NPI1417113390
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameWISAM MARTINI, MD, PLLC
Location Address22811 GREATER MACK AVESaint Clair Shores, MI 48080-2021
Mailing Address4300 Drexel DrTroy, MI 48098-4347 · (248) 275-1080
Phone(586) 778-4950
Fax(586) 778-4952
Organization SubpartNo
Authorized OfficialWisam MartiniOwner · (313) 609-7310
Enumeration DateJuly 31, 2008
✔ NPI 1417113390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
22811 GREATER MACK AVE, Saint Clair Shores, MI 48080
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MR. JOHN M. HRIBLJAN M.S.W.
Social Worker (Clinical)
22811 GREATER MACK AVE, SUITE 107
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 775-2511
MR. DON THADDEUS GALVIN III LMSW
Social Worker (Clinical)
22811 GREATER MACK AVE, L-2
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 335-2006
BELINDA ALIAHMAD
Social Worker (Clinical)
22811 GREATER MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 335-2006
DR. ANDREA MARIA ABESSINIO D.O.
Obstetrics & Gynecology
22811 GREATER MACK AVE, SUITE 106
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 772-6822
ERICA SAGESE
Psychologist (Counseling)
22811 GREATER MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 335-2006
MS. SUSANNE E CONSIGLIO RD
Dietitian, Registered
22811 GREATER MACK AVE, SUITE 105
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 778-4877
DR. JOHN A RYAN PH.D.
Counselor (Mental Health)
22811 GREATER MACK AVE, SUITE L-3
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-3988
DR. JUDY A MCCOWN PH.D.
Psychologist (Clinical)
22811 GREATER MACK AVE, SUITE L-3
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-3988

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 Wisam Martini, MD, PLLC's NPI number?

The NPI number for Wisam Martini, MD, PLLC is 1417113390. It was assigned to this organization in the NPPES registry on July 31, 2008.

Where is Wisam Martini, MD, PLLC located?

Wisam Martini, MD, PLLC is located at 22811 Greater Mack Ave, Saint Clair Shores, MI 48080. The listed phone number is (586) 778-4950.

What is Wisam Martini, MD, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Wisam Martini, MD, PLLC was last updated on July 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.