Individual
MR. JAMES-GREGORY HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6831
(989) 894-3000
Mailing address
1809 COLUMBUS AVE, BAY CITY, MI 48708-6874
(586) 899-9688
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
185019
TN
163W00000X
Registered Nurse
4704273242
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704273242
MI
Other
Enumeration date
10/17/2014
Last updated
04/15/2016
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