Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Jacob Kholov, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518654920

Michael Jacob Kholov, MD is a Student in an Organized Health Care Education/Training Program in Eau Claire, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

617 W Clairemont Ave
Eau Claire, WI 54701
Phone: (715) 839-5175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1518654920
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2023
Last updated in NPPESOctober 17, 2023
Certification dateApril 18, 2023
Mailing address617 W Clairemont Ave, Eau Claire, WI 54701

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