Individual
SHERNAN G HOLTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 625-3600
Mailing address
720 WASHINGTON AVE SE, MINNEAPOLIS, MN 55414-2924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46758
MN
207RH0000X
Hematology (Internal Medicine) Physician
Primary
46758
MN
207RH0003X
Hematology & Oncology Physician
MD154732
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35177800
—
WI
05
—
530002900
—
MN
05
—
ENROLLED
—
IA
01
—
P00639250
MEDICARE RAILROAD
MN
Enumeration date
01/19/2006
Last updated
01/18/2024
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