Marilyn Holm

NPI #1376504035 in Wasilla, Alaska

Provider Information

NPI Number: 1376504035
Entity Type: Organization
Organization Name: Marilyn Holm
Primary Specialty: Optometrist
Enumeration Date: Mar 31, 2006
Last Updated: Jan 28, 2013

Practice Location

Address: 1320 S COUNTRYWOOD DR
City: Wasilla
State: Alaska
ZIP Code: 99623-9228
Phone: (316) 209-0142

Authorized Official

Name: DR. MARILYN KAY HOLM, O.D.
Title: OWNER
Phone: (316) 209-0142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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