Individual
NICHOLAS NEAL HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5803 NEAL AVE N, OAK PARK HEIGHTS, MN 55082-2177
(651) 439-8807
(651) 439-0232
Mailing address
5803 NEAL AVE N, OAK PARK HEIGHTS, MN 55082-2177
(651) 439-8807
(651) 439-0232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31006
SC
207Q00000X
Family Medicine Physician
4301090597
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
106245
MN
Other
Enumeration date
02/12/2008
Last updated
06/30/2015
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