Individual
MATTHEW G HOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4911
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101018287
MI
Other
Enumeration date
07/09/2009
Last updated
05/05/2025
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