NPI Profile for DENISE BIRKHOLZ in LOLO, MT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Electroneurodiagnostic |
246ZE0600X | |||
EEG |
2472E0500X | 75 | Slide Preparation Facility |
| NPI # | 1649504747 |
|
| Status | Active | |
| Credentials | CNIM | |
| Entity | Individual | |
| Enumeration date | 09/23/2009 | |
| Last updated | 08/04/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DENISE BIRKHOLZ
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