Individual
NOA HOLOSHITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2350 N LAKE DR, SUITE 400, MILWAUKEE, WI 53211-4528
(414) 271-1633
(414) 271-5071
Mailing address
4425 N PORT WASHINGTON RD, CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 271-1633
(414) 271-5071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
225137
MA
207RC0000X
Cardiovascular Disease Physician
036120789
IL
207RC0000X
Cardiovascular Disease Physician
Primary
61524
WI
Other
Enumeration date
08/01/2007
Last updated
01/17/2014
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