Individual
DR. ROBERT MICHAEL HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3920 ST FRANCIS WAY, SUITE 209, LAFAYETTE, IN 47905-4917
(765) 775-2860
(765) 775-2826
Mailing address
1415 SALEM ST, SUITE 302, LAFAYETTE, IN 47904-2099
(765) 449-2410
(765) 742-8607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01029025
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232090
—
IN
Enumeration date
07/24/2006
Last updated
07/18/2011
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