Individual
MICHELE A HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1550 MIDWAY PL, MENASHA, WI 54952-1165
(920) 727-8120
Mailing address
1550 MIDWAY PL, MENASHA, WI 54952-1165
(920) 727-8120
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
36239
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32096800
—
WI
Enumeration date
12/19/2005
Last updated
12/10/2020
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