Individual
DR. EDWARD JOSEPH HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 N ADELAIDE ST, FENTON, MI 48430-2670
(810) 629-2245
Mailing address
102 N ADELAIDE STREET, FENTON, MI 48430-2670
(810) 629-2245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301090513
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381746096
COMMERCIAL CARRIER
MI
Enumeration date
07/18/2007
Last updated
07/14/2010
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