Glen E Holt MD

NPI 1366678773 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1366678773
Gender Male
Enumeration Date 06/01/2009
Last Updated 12/19/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
3600 TOWER AVE
SUPERIOR WI, 54880-5337, US
Phone (715) 392-1955
Fax
Business Location
3600 TOWER AVE
SUPERIOR WI, 54880-5337, US
Phone (715) 392-1955
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Minnesota
License Number 17038
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According to our database, Glen E Holt MD NPI is 1366678773, taxonomy code is 207V00000X and license number is 17038, license state is located at Minnesota. Glen E Holt MD physically located at 3600 Tower Ave, Superior WI, 54880-5337. NPI Number Glen E Holt MD has the Individual type.

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1366678773 NPI number is provided on an as is basis without warranty of any kind. 1366678773 is maintained by the National Plan & Provider Enumeration System. The contents of Glen E Holt MD are for informational purposes only.