Individual
GIOVANNI L HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5072 N 25TH ST, MILWAUKEE, WI 53209-5643
(414) 349-2133
Mailing address
5072 N 25TH ST, MILWAUKEE, WI 53209-5643
(414) 349-2133
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H4302929204104
WI
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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