Individual
DENNIS RUSSELL HOLDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
596 W MAIN ST, WILMINGTON, OH 45177-2123
(937) 382-9453
(937) 382-9459
Mailing address
6722 STATE ROUTE 132, GOSHEN, OH 45122-9249
(513) 924-8233
(513) 924-8244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35083293
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000390305
ANTHEM
OH
05
—
2433585
—
OH
Enumeration date
05/03/2006
Last updated
04/16/2026
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