Individual
MATTHEW JAMES HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3810 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 425-6030
(260) 425-6027
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
75000197A
IN
Other
Enumeration date
10/21/2024
Last updated
03/06/2025
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