Organization
BYRON M. HOLM, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN HEIM (ADMINISTRATIVE OFFICE MANAGER)
(574) 936-7777
Entity
Organization
Contact information
Practice address
2855 MILLER DR, SUITE 117, PLYMOUTH, IN 46563-8091
(574) 936-7777
(574) 941-1072
Mailing address
2855 MILLER DR, SUITE 117, PLYMOUTH, IN 46563-8091
(574) 936-7777
(574) 941-1072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200276050
—
IN
Enumeration date
11/13/2006
Last updated
05/25/2021
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