Organization
HOLLY FAMILY MEDICINE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIYA KOHLER MD (OWNER)
(810) 606-6230
Entity
Organization
Contact information
Practice address
2595 GENESYS PKWY, GRAND BLANC, MI 48439-8069
(810) 606-6230
(810) 606-7084
Mailing address
2595 GENESYS PKWY, GRAND BLANC, MI 48439-8069
(810) 606-6230
(810) 606-7084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301072057
MI
Other
Enumeration date
06/19/2009
Last updated
04/30/2010
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