| Organization Name: | STEPHEN R. HOLUK MD INC |
| NPI Number: | 1508105842 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN R HOLUK (PRESIDENT) |
| Mailing Address: | 2175 Main St. Three Rivers |
| State: | MA US |
| Postal Code: | 01080 |
| Phone Number: | 4132837171 |
| Fax Number: | 4132837171 |
| NPI Enumeration Date: | 02/06/2013 |
| NPI Last Update Date: | 02/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 48798 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |