Individual
DR. JOHN DANIEL HOLSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 235-6036
(507) 235-8882
Mailing address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 235-6036
(507) 235-8882
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
17358
IA
208800000X
Urology Physician
Primary
19394
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0951178
IOWA MEDICAL ASSIST.
—
01
—
341095099
RAILROAD MEDICARE
—
05
—
691768200
—
MN
Enumeration date
06/30/2005
Last updated
04/12/2012
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