Individual
MR. CORRIN N HOLM SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA(CBRPA)
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
Mailing address
PO BOX 65, HASTINGS, MI 49058-0065
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
—
—
247100000X
Radiologic Technologist
—
—
2471C3401X
Computed Tomography Radiologic Technologist
—
—
Other
Enumeration date
07/27/2007
Last updated
12/13/2021
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