Individual
MS. MARY ELIZABETH HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-0618
Mailing address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-0618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3001-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477801165
—
WI
Enumeration date
08/28/2012
Last updated
09/29/2020
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