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Contact Information

ALVIN C HOLM, MD
295 PHALEN BLVD
SAINT PAUL, MN55130-2400
 Phone: 651-495-6200
 Fax: 952-883-9677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ALVIN C HOLM · (Male)

NPI # 1265546188
Status Active
Credentials MD
Entity Individual
Enumeration date 08/18/2006
Last updated 09/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 30351
  • MN Medicaid 995787100
Hospital affiliation(s)
  • REGINA MEDICAL CENTER - (Acute Care)
    1175 NININGER ROAD
    HASTINGS, MN 55033
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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