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Individual

DAVID HOLLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2717 N GRANDVIEW BLVD STE 303, WAUKESHA, WI 53188-1660
(262) 544-6486
(262) 544-6377
Mailing address
PO BOX 14097, WEST ALLIS, WI 53214-0097
(262) 544-6486
(262) 544-6377

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27991-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31699800
WI
Enumeration date
09/20/2006
Last updated
04/04/2008
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