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Individual
ANTHONY PAUL HOLST
Active
Individual
ANTHONY PAUL HOLST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
5101028281
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/17/2019
Last updated
09/06/2024
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