Individual
JOHN R HOLTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5000
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
76466
MN
207R00000X
Internal Medicine Physician
Primary
MT215131
PA
2085R0202X
Diagnostic Radiology Physician
76466
MN
Other
Enumeration date
06/10/2018
Last updated
07/12/2024
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