Individual
KERIANNE HELEN HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4100 LAKE DR SE, SUITE B01, GRAND RAPIDS, MI 49546-8293
(616) 267-7400
(616) 267-7444
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301087462
MI
Other
Enumeration date
03/28/2007
Last updated
02/17/2021
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