Provider Demographics
NPI:1528629458
Name:HOLMAN, ALEXIS (MD, JD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:HOLMAN
Suffix:
Gender:F
Credentials:MD, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 442
Mailing Address - Street 2:SUITE H2100
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48106-0442
Mailing Address - Country:US
Mailing Address - Phone:888-229-2409
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 442
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48106-0442
Practice Address - Country:US
Practice Address - Phone:882-292-4098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4351044113390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program