# HOLM MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427799535
- **Authorized official:** BYRON M HOLM MD (PRESIDENT)
- **Authorized official phone:** (574) 286-0200

## Contact information

- **Practice address:** 2855 MILLER DR STE 205, PLYMOUTH, IN 46563-8093
- **Practice address phone:** (574) 286-0200
- **Mailing address:** 2855 MILLER DRIVE, STE 205, PLYMOUTH, IN 46563-8093
- **Mailing address phone:** (574) 780-3312
- **Mailing address fax:** (888) 247-3121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2022
- **Last updated:** 05/03/2022