Todd Jeramie Holter in Woodbury - Physician Assistant
Todd Jeramie Holter - NPI 1396742896
Todd Jeramie Holter is a Physician Assistant in Woodbury, Minnesota. Todd Jeramie Holter practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Todd Jeramie Holter is 1396742896. The last update date is 2023-06-30.
Todd Jeramie Holter's current location address is 155 Radio Dr, Woodbury, Minnesota. You can contact this provider via phone number 9528318742 and fax number 9529773459. The mailing address for Todd Jeramie Holter is 155 Radio Dr, Woodbury, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd Jeramie Holter |
|---|---|
| Address | 155 Radio Dr, Woodbury, Minnesota |
| Phone Number | 9528318742 |
| Fax Number | 9529773459 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1396742896 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2023-06-30 |
Provider Mailing Address Detail
| Address | 155 Radio Dr |
|---|---|
| City | Woodbury |
| State | Minnesota (MN) |
| Post Code | 5512526190 |
| Phone Number | 9528318742 |
| Fax Number | 9529773459 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9820 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Where is the Todd Jeramie Holter located?
The Todd Jeramie Holter is located at 155 Radio Dr, Woodbury, MN 5512526190.
Could you please provide the complete physical location address of Todd Jeramie Holter?
The Todd Jeramie Holter is physically situated at 155 Radio Dr, in the city of Woodbury, state of MN, with the postal code 5512526190.
What is the Todd Jeramie Holter's specialty and taxonomy code?
The Todd Jeramie Holter's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Todd Jeramie Holter's 1396742896 issued?
The Todd Jeramie Holter's 1396742896 was issued on 2005-06-30.
When was the information pertaining to Todd Jeramie Holter most recently updated or revised?
The details related to Todd Jeramie Holter, including its address, specialty, and other relevant information, were last updated or revised on 2023-06-30.