Individual
DR. JANETTE L HOLUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
11141 PARKVIEW PLAZA DR, SUITE 305, FORT WAYNE, IN 46845-1713
(260) 266-8900
(260) 266-8935
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036121113
IL
2086S0127X
Trauma Surgery Physician
Primary
01075879A
IN
2086S0127X
Trauma Surgery Physician
51715
TN
Other
Enumeration date
05/13/2008
Last updated
10/07/2022
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