Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wisam Martini, MD, PLLC

Organization Internal Medicine Physician · NPI 1417113390

Wisam Martini, MD, PLLC is an Internal Medicine Physician in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22811 Greater Mack Ave
Saint Clair Shores, MI 48080-2021
Phone: (586) 778-4950
Fax: (586) 778-4952
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X (MI)
Internal Medicine Physician Taxonomy 207R00000X (MI)
Interventional Cardiology Physician Taxonomy 207RI0011X (MI)

Record details

NPI number1417113390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wisam Martini — Owner · (313) 609-7310
NPI enumeratedJuly 31, 2008
Last updated in NPPESJuly 31, 2008
Mailing address4300 Drexel Dr, Troy, MI 48098-4347

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