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NPI Code Detail

MEDICARE: NICOLE HOLZEMER M.A.

MEDICARE: NICOLE HOLZEMER M.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP. 11162OH

General Provider Information

NPI Number : 1801201637
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE HOLZEMER M.A.
Provider Business Mailing Address
First Line : 401 W AIRPORT HWY
Second Line :
City : SWANTON
State : OH
Zip : 43558-1445
Country : US
Telephone Number : 419-825-1111
Fax Number : 419-825-2386
Provider Business Practice Location Address
First Line : 401 W AIRPORT HWY
Second Line :
City : SWANTON
State : OH
Zip : 43558-1445
Country : US
Telephone Number : 419-825-1111
Fax Number : 419-825-2386
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2014
Last Update Date : 07/01/2014

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Directions to “ NICOLE HOLZEMER M.A.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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