Most Relevant Information
Provider Data
| NPI Number: | 1003560582 |
| Provider Name: | MICHAEL O HOLSTEIN |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/04/2022 |
| Last Updated: | 02/04/2022 |
Provider Practice Location
63 SHANNON DR
HURRICANE
WV
255268823
Practice Location Phone/Fax
| Phone: | 3045529270 |
| Fax: |
Provider Mailing Location
63 SHANNON DR
HURRICANE
WV
255268823
Provider Mailing Phone/Fax
| Phone: | 3045529270 |
| Fax: |