Individual
DR. JOHN MATTHEW HOLST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
407 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, DULUTH, MN 55805-1950
(218) 786-4357
Mailing address
ESSENTIA HEALTH DULUTH CLINIC SSB-5, 400 E THIRD STREET, DULUTH, MN 55805-1951
(218) 786-3146
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
56179
MN
208D00000X
General Practice Physician
0102201761
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669442406
—
MI
05
—
1669442406
—
MN
05
—
1669442406
—
WI
Enumeration date
01/24/2006
Last updated
01/14/2021
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