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Organization

HOLLY FOOT & ANKLE SPECIALISTS PLC

Active
Parent organization
HOLLY FOOT & ANKLE SPECIALISTS PLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOLLY FOOT & ANKLE SPECIALISTS PLC
Authorized official
MR. HAROLD M KOEHLER DPM (DOCTOR/OWNER)
(248) 634-6200
Entity
Organization

Contact information

Practice address
4038 GRANGE HALL RD, HOLLY, MI 48442-1160
(248) 634-6200
(248) 634-6213
Mailing address
4038 GRANGE HALL RD, HOLLY, MI 48442-1160
(248) 634-6200
(248) 634-6213

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477684413
MEDICARE NGS
MI
01
480F327690
BCBS
MI
05
4810985
MI
Enumeration date
03/09/2007
Last updated
03/24/2025
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