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Contact Information

TODD J HOLTER, PAC
155 RADIO DR
WOODBURY, MN55125-2619
 Phone: 952-831-8742
 Fax: 952-977-3459
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TODD J HOLTER · (Male)

NPI Number 1396742896
Status Active
Credentials PAC
Entity Individual
Enumeration date 06/30/2005
Last updated 06/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 9820
  • WI License # 1684
Hospital affiliation(s)
  • AMERY REG MED CTR - (Critical Access)
    265 GRIFFIN STREET EAST
    AMERY, WI 54001
  • LAKEVIEW MEMORIAL HOSPITAL - (Acute Care)
    927 WEST CHURCHILL STREET
    STILLWATER, MN 55082
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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