Individual
ANDERS HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W COLUMBIA ST STE 200, EVANSVILLE, IN 47710-1756
(812) 425-2646
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 692-4500
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01090841A
IN
207Y00000X
Otolaryngology Physician
0420010194
VT
207Y00000X
Otolaryngology Physician
19647
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007905
—
VT
05
—
3117578
—
NH
Enumeration date
10/18/2005
Last updated
07/28/2023
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