Holz, Gwynne Gala
Holz, Gwynne Gala is an individual health care provider with primary practice located at 1500 East Medical Center Dr B1 Floor University Hospital Recp C, Ann Arbor MI 48109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Holz, Gwynne Gala can be contacted via phone (734) 936-4500.Contact Information
Primary practice address
1500 East Medical Center Dr B1 Floor University Hospital Recp C
Ann Arbor MI 48109
Phone: (734) 936-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301051288 | Michigan |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35059514H | Ohio |
Profile Details
| NPI number | 1912960857 |
|---|---|
| LBN Legal business name | Holz, Gwynne Gala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Aug 29th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912960857 | NPPES |
| Ohio | MEDICAID | 0141948 |
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