Individual
MR. GRANT HOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3534 5TH AVE APT 206, SAN DIEGO, CA 92103-5063
(877) 737-4636
Mailing address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(877) 737-4636
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125061867
IL
Other
Enumeration date
07/09/2012
Last updated
01/17/2024
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