Organization Name:  HOLLAND ALLERGY CLINIC PC


Practice Location:
844 S WASHINGTON SUITE 500 BLDG 1 SUITE 500 HOLLAND, MI 49423 US
Tel: 616-392-2516  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	MI	4301056696

Other Provider Identifiers:

Issuer	Number	State	Type
BCBS ID	0030255	MI	01
BCN ID	0030255	MI	01
FED BCBS	1255360418	MI	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin