Organization
SIMPSON HOLZWORTH
Active
Other names
David G Holzworth DO PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID G HOLZWORTH DO (PRESIDENT PHYSICIAN)
(734) 479-7310
Entity
Organization
Contact information
Practice address
14600 KING RD, SUITE D, RIVERVIEW, MI 48193-7952
(734) 479-7310
(734) 479-7307
Mailing address
14600 KING RD, SUITE D, RIVERVIEW, MI 48193-7952
(734) 479-7310
(734) 479-7307
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5101006598
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0458213064
BLUE CROSS OF MICHIGAN
MI
05
—
1302187
—
MI
Enumeration date
03/19/2008
Last updated
08/13/2008
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