Individual
JOHN MARK HOLTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5713 STRATHMOOR DR, SUITE 1, ROCKFORD, IL 61107-7093
(815) 398-4545
(815) 399-7705
Mailing address
5713 STRATHMOOR DR, SUITE 1, ROCKFORD, IL 61107-7093
(815) 398-4545
(815) 399-7705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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