Holm, Mark E

Holm, Mark E is an individual health care provider with primary practice located at 2090 Woodwinds Dr Suite 307, Woodbury MN 55125-2522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Holm, Mark E can be contacted via phone (651) 968-5801.

Contact Information

Primary practice address
2090 Woodwinds Dr Suite 307 Woodbury MN 55125-2522
Phone: (651) 968-5801
Fax: (651) 968-5899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 31292 Minnesota

Profile Details

NPI number 1114996246
LBN Legal business name Holm, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 25th, 2015 - about 9 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 1114996246 NPPES
Minnesota Other 200018337 RAILROAD MEDICARE
Minnesota MEDICAID 680787900 RAILROAD MEDICARE

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