Individual
DR. MARK P HOLTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
118567
MN
1835I0206X
Infectious Diseases Pharmacist
118567
MN
1835P2201X
Ambulatory Care Pharmacist
Primary
118567
MN
Other
Enumeration date
12/16/2010
Last updated
12/11/2023
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