Individual
WENDY SUE HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 529-6610
Mailing address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 529-6610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11006
MN
363A00000X
Physician Assistant
2181
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01164698
—
CO
Enumeration date
11/14/2006
Last updated
03/07/2017
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