| Byron M. Holm, Md | |
|
2855 Miller Dr Suite 117 Plymouth IN 46563-8091 | |
| (574) 936-7777 | |
| (574) 941-1072 |
| Full Name | Byron M. Holm, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 2855 Miller Dr, Plymouth, Indiana |
| Authorized Official Name and Position | Joann Heim (ADMINISTRATIVE OFFICE MANAGER) |
| Authorized Official Contact | 5749367777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Byron M. Holm, Md 2855 Miller Dr Suite 117 Plymouth IN 46563-8091 Ph: (574) 936-7777 | Byron M. Holm, Md 2855 Miller Dr Suite 117 Plymouth IN 46563-8091 Ph: (574) 936-7777 |
| NPI Number | 1003987538 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 05/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003987538 | NPI | - | NPPES |
| 200276050 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Lifeplex Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2855 Miller Dr Ste 117, Plymouth, IN 46563 Phone: 574-936-7777 Fax: 574-941-1072 | |
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