Holzwarth, Peter David

Holzwarth, Peter David is an individual health care provider with primary practice located at 120 Second Street , Neenah WI 54956-2883. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Holzwarth, Peter David can be contacted via phone (920) 969-7900.

Contact Information

Primary practice address
120 Second Street Neenah WI 54956-2883
Fax: (920) 969-7979
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35954 Wisconsin

Profile Details

NPI number 1629001912
LBN Legal business name Holzwarth, Peter David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jan 14th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629001912 NPPES
Wisconsin MEDICAID 1629001912

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