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Individual

HOLLY E. FERRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1400 E 2ND ST, DEFIANCE, OH 43512
(419) 784-1414
(419) 783-2799
Mailing address
2200 JEFFERSON AVE FL 5, TOLEDO, OH 43604-7102

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-002910
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000620951
ANTHEM
OH
Enumeration date
06/23/2009
Last updated
06/25/2020
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