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NPI Code Detail

MEDICARE: TODD K HOLTZ MD

MEDICARE: TODD K HOLTZ MD
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
1207RG0100XGastroenterology PhysicianTH053390MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21005631202OTHERMIBSBSM

General Provider Information

NPI Number : 1982695375
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD K HOLTZ MD
Provider Business Mailing Address
First Line : 4230 BAY CITY RD
Second Line :
City : MIDLAND
State : MI
Zip : 48642-6014
Country : US
Telephone Number : 989-839-0750
Fax Number : 989-839-9037
Provider Business Practice Location Address
First Line : 4230 BAY CITY RD
Second Line :
City : MIDLAND
State : MI
Zip : 48642-6014
Country : US
Telephone Number : 989-839-0750
Fax Number : 989-839-9037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 09/28/2023

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Directions to “ TODD K HOLTZ MD” Practice Location

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