Individual
DR. LAURIE A B BIRKHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11971 JAMES ST, HOLLAND, MI 49424-9610
(616) 345-5263
Mailing address
11971 JAMES ST, HOLLAND, MI 49424-9610
(616) 345-5263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301099907
MI
207Q00000X
Family Medicine Physician
Primary
47700
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34641700
—
WI
Enumeration date
05/08/2006
Last updated
05/11/2020
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