Individual
SUSAN E HOLIBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1281 E SHERMAN BLVD, 1281 E SHERMAN, MUSKEGON, MI 49444
(231) 733-1511
(231) 733-7980
Mailing address
1281 E SHERMAN BLVD, NORTON SHORES, MI 49444-1846
(231) 733-1511
(231) 489-7500
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
5901001528
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2693057
—
MI
01
—
4609590001
ADMINASTAR DMERC
MI
01
—
4856110470
BCBSM
MI
Enumeration date
03/10/2006
Last updated
08/16/2018
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