Individual
DR. BRYAN HOLDERMAN FATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MDRE.ML.60657196
WA
Other
Enumeration date
03/31/2016
Last updated
07/22/2019
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