Individual
DR. DAVID G HOLZWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14600 KING RD, SUITE D, RIVERVIEW, MI 48193-7952
(734) 479-7310
(734) 479-7307
Mailing address
14600 KING RD, SUITE D, RIVERVIEW, MI 48193-7952
(734) 479-7310
(734) 479-7307
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
5101006598
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1302187
—
MI
01
—
1758239605
BLUE CROSS MICHIGAN
MI
01
—
C5092
MCARE
MI
01
—
P46665
BLUE CARE NETWORK
MI
Enumeration date
08/18/2005
Last updated
08/13/2008
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