Individual
ANN ELIZABETH HOLT-MINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1500
(608) 741-3800
(608) 741-3838
Mailing address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1500
(608) 741-3800
(608) 741-3838
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2090-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316094535
BCBSWI
WI
05
—
1316094535
—
WI
01
—
541760649
WI MEDICARE
WI
01
—
HOLTMANN
MERCYCARE INSURANCE
WI
Enumeration date
01/03/2007
Last updated
07/23/2018
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