Individual
HOLLY NIEUSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4378 HOLT RD, HOLT, MI 48842-1634
(517) 694-1466
(517) 694-3530
Mailing address
4378 HOLT RD, HOLT, MI 48842-1634
(517) 694-1466
(517) 694-3530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101021021
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101021021
MI
Other
Enumeration date
05/23/2014
Last updated
04/18/2018
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