Individual
JASON SCOTT HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W 140TH ST, SUITE 201, BURNSVILLE, MN 55337-4480
(952) 808-3000
(952) 808-3001
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
14322
NV
207X00000X
Orthopaedic Surgery Physician
A121113
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
56331
MN
Other
Enumeration date
05/18/2007
Last updated
09/19/2013
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