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Individual
MATTHEW ANDERS HOLMES
Active
Individual
MATTHEW ANDERS HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55316
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001-0100288
MEDICA
—
01
—
1801187315
BCBS
MN
05
—
1801187315
—
MN
01
—
P01099783
RR MEDICARE
—
Enumeration date
05/02/2011
Last updated
12/19/2012
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