Individual
SARA STAUPE HOLZGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6401 PRAIRIE ST, NORTON SHORES, MI 49444-7840
(231) 727-7939
(231) 727-7935
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 672-2120
(313) 432-7758
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101017989
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI4160008
MEDICARE GROUP PTAN
MI
Enumeration date
08/14/2008
Last updated
01/10/2022
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