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Individual

JILL A HOLZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4805 S MOORLAND RD, NEW BERLIN, WI 53151-7401
(262) 798-7200
Mailing address
4805 S MOORLAND RD, NEW BERLIN, WI 53151-7401
(262) 798-7200

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52248-21
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1497978621
WI
01
P01602832
RAILROAD MEDICARE
WI
Enumeration date
04/10/2007
Last updated
08/18/2023
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