Whalio Doctors

NPI 1104016989

Corrin N Holm, RPACBRPA

Practitioner Radiology Practitioner Assistant Jackson, MI

Practice location

Address
205 N East Ave, Jackson, MI 49201-1753
Phone
(517) 205-4800
Mailing address
PO Box 65, Hastings, MI 49058-0065

Registered specialties (3)

Radiology Practitioner Assistant Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X
Radiologic Technologist
Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X
Computed Tomography Radiologic Technologist
Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3401X

Registry record

NPI
1104016989
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Jul 2007
Record last updated
13 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.