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Individual

DR. WES J HOLIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
3600 KOLBE RD STE 205, LORAIN, OH 44053-1677
(440) 989-1800
(440) 989-1801
Mailing address
PO BOX 636643, CINCINNATI, OH 45263-6643
(440) 989-3801
(440) 960-0264

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.010214
OH
207R00000X
Internal Medicine Physician
5101016065
MI
207RI0011X
Interventional Cardiology Physician
Primary
34010214
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3025372
OH
Enumeration date
05/17/2007
Last updated
12/14/2020
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