Individual
MICHAEL RAY HOLTGREWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35.043477
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000727930
ANTHEM
OH
01
—
000000728056
ANTHEM
OH
05
—
0041480000
—
WV
05
—
0397324
—
OH
01
—
P01254615
RAILROAD MEDICARE - MHCPI
OH
Enumeration date
06/14/2005
Last updated
02/17/2014
Update your record
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