Individual
MR. HOLT HOLTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
N172W20190 WOODLAND TRL, JACKSON, WI 53037-9388
(414) 688-7080
Mailing address
N172W20190 WOODLAND TRL, JACKSON, WI 53037-9388
(414) 688-7080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
164346-30
WI
Other
Enumeration date
09/14/2010
Last updated
10/22/2010
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