Individual
ISAAC HOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 WANGEN PATH, EAGLE LAKE, MN 56024-3700
(701) 740-5229
Mailing address
103 WANGEN PATH, EAGLE LAKE, MN 56024-3700
(701) 740-5229
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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