| Doctor Name: | MICHAEL RAY HOLTGREWE |
| NPI Number: | 1235134578 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35.043477 |
| Business Practice Address: | 401 Matthew St Wound Care Center Marietta, OH - 457501635 |
| Business Phone Number: | 7403741623 |
| Business Fax Number: | 7405685355 |
| Mailing Address: | Po Box 449, MARIETTA |
| State: | OH |
| Postal Code: | 457500449 |
| Phone Number: | 7403744500 |
| Fax Number: | 7403745887 |
| NPI Enumeration Date: | 06/14/2005 |
| NPI Last Update Date: | 02/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35.043477 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |