| Doctor Name: | MICHAEL R HOLT |
| NPI Number: | 1700871266 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01042309 |
| Business Practice Address: | 9200 W Wisconsin Ave Dept Of Radiology Milwaukee, WI - 532263522 |
| Business Phone Number: | 4148053700 |
| Business Fax Number: | 4148053777 |
| Mailing Address: | 9200 W Wisconsin Ave, Dept Of Radiology MILWAUKEE |
| State: | WI |
| Postal Code: | 532263522 |
| Phone Number: | 4148053700 |
| Fax Number: | 4148053777 |
| NPI Enumeration Date: | 09/12/2005 |
| NPI Last Update Date: | 11/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 01042309 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |