Individual
LUKE BRANDON HOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
124 NAVAHO TRL, BUCKLEY, MI 49620-9527
(231) 878-8310
Mailing address
124 NAVAHO TRL, BUCKLEY, MI 49620-9527
(231) 878-8310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008553
MI
Other
Enumeration date
01/31/2018
Last updated
11/19/2021
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