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Individual

DR. STEVEN WAYNE HOLLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4550 CENTRAL AVE NE, LOT 1527, HILLTOP, MN 55421-2482
(763) 571-7520
Mailing address
4550 CENTRAL AVE NE, LOT 1527, HILLTOP, MN 55421-2482
(763) 571-7520

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3370
WI
111N00000X
Chiropractor
Primary
4181
MN
111N00000X
Chiropractor
A06009
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003261
PROVIDER #
MN
Enumeration date
12/06/2006
Last updated
07/09/2007
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