Individual
SCOTT HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
479 LAFAYETTE ST, IONIA, MI 48846-1834
(616) 527-4200
(616) 527-5731
Mailing address
479 LAFAYETTE ST, IONIA, MI 48846-1834
(616) 527-4200
(616) 527-5731
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
HS056453
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02630
PRIORITY HEALTH PAY TO #
MI
01
—
1003025
MCLAREN
MI
01
—
2937715
MOLINA
MI
Enumeration date
09/20/2006
Last updated
01/24/2008
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