Individual
MRS. HOLLY ANNE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
(920) 303-8700
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
(920) 303-8700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5101013069
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
5101013069
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114229008
—
MI
01
—
HR013069
BCBS LICENSE
MI
Enumeration date
12/13/2006
Last updated
12/07/2021
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