Individual
ANGELA M HOLTZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
(262) 434-5050
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14491
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100014978
—
WI
Enumeration date
04/27/2011
Last updated
10/16/2023
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