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Individual

DR. STEPHEN EDWARD HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
(218) 983-4300
(218) 983-6217
Mailing address
915 TENTH AVENUE NORTH, GLASGOW, MT 59230
(406) 228-4763

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11351
MT
207Q00000X
Family Medicine Physician
MD186627
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000096846
BCBS MT
MT
05
0117325
MT
01
P00385307
MEDICARE RR
MT
Enumeration date
08/01/2006
Last updated
09/16/2022
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