Michele A Holder, MD | |
1550 Midway Pl, Menasha, WI 54952-1165 | |
(920) 727-8120 | |
Not Available |
Full Name | Michele A Holder |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 33 Years |
Location | 1550 Midway Pl, Menasha, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598741803 | NPI | - | NPPES |
32096800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 36239 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
Ascension Calumet Hospital | Chilton, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Medical Group-fox Valley Wisconsin Inc | 0244142420 | 240 |
Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
Entity Name | Ascension Calumet Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376541748 PECOS PAC ID: 7416948427 Enrollment ID: O20040809000191 |
Mailing Address | Practice Location Address |
---|---|
Michele A Holder, MD 1550 Midway Pl, Menasha, WI 54952-1165 Ph: (920) 727-8120 | Michele A Holder, MD 1550 Midway Pl, Menasha, WI 54952-1165 Ph: (920) 727-8120 |
Douglas B Horan, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1550 Midway Pl, Menasha, WI 54952 Phone: 920-727-8153 | |
Tam Nguyen, DO Dermatology Medicare: Medicare Enrolled Practice Location: 1550 Midway Pl, Menasha, WI 54952 Phone: 920-738-2000 |