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Individual
MICHAEL DAVID HOLLETT
Active
Individual
MICHAEL DAVID HOLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
G75906
CA
2085R0202X
Diagnostic Radiology Physician
G75906
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G759060
BLUE CROSS OF CA
CA
05
—
00G759060
—
CA
01
—
300121752
RAILROAD MEDICARE
CA
01
—
300121782
RAILROAD MEDICARE
CA
Enumeration date
06/15/2006
Last updated
04/09/2024
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