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Individual

MICHAEL B HOLLIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11590 CENTURY BLVD, CINCINNATI, OH 45246-3326
(513) 648-9077
(513) 648-9554
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5501
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35075065
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2185282
OH
Enumeration date
06/18/2005
Last updated
01/19/2018
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