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Individual
DR. MITCHEL TIMOTHY HOLM
Active
Individual
DR. MITCHEL TIMOTHY HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
02002871A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
048031
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01523571
—
CO
01
—
024949
KAISER COMMERCIAL NUMBER
CO
Enumeration date
01/18/2006
Last updated
06/28/2022
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