MATTHEW JAMES HOLLAND

FORT WAYNE, IN
NPI1639990906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: IN  75000197A)
Enumeration Date2024-10-21
Last Update Date2025-03-06
Business Address
MATTHEW JAMES HOLLAND
3810 NEW VISION DR
FORT WAYNE, IN 46845-1708
Phone number: 260-425-6030
Mailing Address
MATTHEW JAMES HOLLAND
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: