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Individual

DR. BRYCE COLE HOLMGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
166 19TH ST S STE 101, SARTELL, MN 56377-2154
(320) 230-7788
(320) 230-7789
Mailing address
166 19TH ST S STE 101, SARTELL, MN 56377-2154
(320) 230-7788
(320) 230-7789

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
66143
MN
207L00000X
Anesthesiology Physician
9408317
KS
207L00000X
Anesthesiology Physician
Primary
A153895
CA

Other

Enumeration date
05/27/2014
Last updated
01/08/2021
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