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Individual

JOSEPH WALTER HOLDHEIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5151017841
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/21/2026
Last updated
04/27/2026
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