Individual
JOSEPH ANDREW HOLSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1101 N DAKOTA ST, VERMILLION, SD 57069
(605) 658-5539
Mailing address
1101 N DAKOTA ST, VERMILLION, SD 57069
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0609
SD
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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