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Individual
MICHAEL D HOLDEN
Active
Individual
MICHAEL D HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036118552
IL
207Q00000X
Family Medicine Physician
M6837
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010001024
REGENCE BLUE SHIELD OF ID
ID
05
—
003729600
—
ID
01
—
72942
BLUE CROSS OF ID
ID
Enumeration date
06/21/2005
Last updated
11/07/2013
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