| David B. Van Holla, M.d., Pc | |
|
640 Main St Norway MI 49870-1246 | |
| (906) 779-7001 | |
| (906) 779-7006 |
| Full Name | David B. Van Holla, M.d., Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 640 Main St, Norway, Michigan |
| Authorized Official Name and Position | David Brian Van Holla (OWNER) |
| Authorized Official Contact | 9067797001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David B. Van Holla, M.d., Pc 640 Main St Norway MI 49870-1246 Ph: (906) 779-7001 | David B. Van Holla, M.d., Pc 640 Main St Norway MI 49870-1246 Ph: (906) 779-7001 |
| NPI Number | 1619066404 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 06/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619066404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301074540 (Michigan) | Primary |
Maraki Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 724 Main St, Norway, MI 49870 Phone: 906-221-5059 |