Individual
GREGORY SCOTT HOLZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
138 SERVICE RD STE A142, EAST LANSING, MI 48824
(517) 353-3050
(517) 432-3742
Mailing address
B100 CLINICAL CTR, DEPARTMENT OF FAMILY MEDICINE, EAST LANSING, MI 48824-1313
(517) 884-0429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301088951
MI
2083P0901X
Public Health & General Preventive Medicine Physician
4301088951
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5182541
—
MI
Enumeration date
06/08/2007
Last updated
12/08/2009
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