Individual
PETRA HOLKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5000
Mailing address
44666 GEORGIA CT, CLINTON TOWNSHIP, MI 48038-1072
(248) 895-1101
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704201730
MI
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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