Individual
DR. CRAIG S HOLZEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1721 HERITAGE HILLS DR, WASHINGTON, MO 63090-4621
(636) 231-6660
(636) 231-6663
Mailing address
PO BOX 419052, SAINT LOUIS, MO 63141-9052
(314) 851-1000
(314) 851-4449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1H43
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080121826
RAILROAD MEDICARE
—
05
—
202945234
—
MO
01
—
P01134647
RAILROAD MEDICARE
MO
Enumeration date
02/07/2006
Last updated
09/09/2024
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