Individual
RYAN ALVIN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4792
(906) 774-3000
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4792
(906) 774-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
239932
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
52380-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001898
—
WI
Enumeration date
05/04/2006
Last updated
12/12/2018
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