SearchWisconsin103T00000X

Larry Holmes, PHD

NPI 1558472183 · on the registry since 2006 · sole proprietor

Practice

Address
11102 Tuckaway Rd
Arbor Vitae, WI 54568
Phone
(715) 358-5400
Fax
(715) 358-5405

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin