Individual
MICHAEL HOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10 WILLOW TERRACE, ANDOVER, NJ 07821
(410) 802-4041
Mailing address
10 WILLOW TERRACE, ANDOVER, NJ 07821
(410) 802-4041
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2281984
MA
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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