Tara Lee Holm in Minneapolis - Diagnostic Radiology

Tara Lee Holm - NPI 1164567764

Tara Lee Holm is a Diagnostic Radiology in Minneapolis, Minnesota. Tara Lee Holm practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Tara Lee Holm is 1164567764. The last update date is 2007-07-08.

Tara Lee Holm's current location address is 420 Delaware St Se, Minneapolis, Minnesota. You can contact this provider via phone number 6126265589. The mailing address for Tara Lee Holm is 420 Delaware St Se, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Tara Lee Holm
Address 420 Delaware St Se, Minneapolis, Minnesota
Phone Number 6126265589
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1164567764
Provider Enumeration Date 2007-02-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 420 Delaware St Se
City Minneapolis
State Minnesota (MN)
Post Code 554550341
Phone Number 6126265589
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 47674
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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FAQs about Tara Lee Holm

What is the unique 10-digit identification code assigned to Tara Lee Holm by the Centers for Medicare & Medicaid Services?

The Tara Lee Holm has been issued the NPI (National Provider Identifier) 1164567764, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Tara Lee Holm is geographically located?

The Tara Lee Holm is physically situated at the following location: 420 Delaware St Se, Minneapolis, MN, 554550341.

What is Tara Lee Holm's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tara Lee Holm is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.

On what date did the Tara Lee Holm receive the assignment of its 1164567764 from the Centers for Medicare & Medicaid Services?

The Tara Lee Holm was issued its 1164567764 by the Centers for Medicare & Medicaid Services on 2007-02-21.

As of what date were the details related to Tara Lee Holm most recently updated or revised?

The information pertaining to Tara Lee Holm, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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