Individual
DR. JUSTIN JAMES HOLSCHBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
308 SAINT JOSEPH DR, BLOOMINGTON, IL 61701-3506
(309) 663-5050
(309) 662-3401
Mailing address
308 SAINT JOSEPH DR, BLOOMINGTON, IL 61701-3506
(309) 663-5050
(309) 662-3401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.132875
IL
207Q00000X
Family Medicine Physician
2012030856
MO
Other
Enumeration date
07/02/2010
Last updated
08/08/2013
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