Holter, Todd Jeramie

Holter, Todd Jeramie is an individual health care provider with primary practice located at 155 Radio Dr , Woodbury MN 55125-2619. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Holter, Todd Jeramie can be contacted via phone (952) 831-8742.

Contact Information

Primary practice address
155 Radio Dr Woodbury MN 55125-2619
Phone: (952) 831-8742
Fax: (952) 977-3459
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1684 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9820 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9820 Minnesota

Profile Details

NPI number 1396742896
LBN Legal business name Holter, Todd Jeramie
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jun 30th, 2023 - about last year

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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