Individual
DR. JOHN EDWARD HOLTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6487 CEDAR HILLS DR, CANNON FALLS, MN 55009-4264
(507) 263-3949
(507) 263-2295
Mailing address
PO BOX 218, CANNON FALLS, MN 55009-0218
(507) 263-3949
(507) 263-2295
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1659
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0468490001
ADMINASTAR
MN
Enumeration date
10/25/2006
Last updated
07/08/2007
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