MICHAEL JACOB KHOLOV

EAU CLAIRE, WI
NPI1518654920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-18
Last Update Date2023-10-17
Business Address
MICHAEL JACOB KHOLOV M.D.
617 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Phone number: 715-839-5175
Mailing Address
MICHAEL JACOB KHOLOV M.D.
617 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Phone number: 715-839-5175