Individual
JERRY HOLTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 423-2454
(248) 423-2576
Mailing address
PO BOX 673671, DETROIT, MI 48267-3671
(810) 720-5715
(810) 732-0891
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001709
MI
Other
Enumeration date
09/06/2007
Last updated
06/12/2009
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