Individual
DR. MICHAEL RAY HOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2563
(513) 862-8862
Mailing address
4685 FOREST AVE, SUITE C, CINCINNATI, OH 45212-3397
(513) 853-4684
(513) 852-8525
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35093496
OH
207V00000X
Obstetrics & Gynecology Physician
56176
MN
207V00000X
Obstetrics & Gynecology Physician
57.010496
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
03/23/2009
Last updated
08/18/2015
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