Individual
MARK D HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 229-5000
(320) 229-5184
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 229-5000
(320) 229-5184
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
42193
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021425
PREFERRED ONE
—
01
—
123826
U-CARE
—
01
—
2114050
FIRST HEALTH PLAN
—
01
—
215575300
MEDICAL ASSISTANCE (MA)
—
01
—
3300079
MEDICA HEALTH PLANS
—
01
—
460002635
RR MEDICARE
—
01
—
509R1HO
BLUE CROSS BLUE SHIELD
—
01
—
74D33HO
BLUE CROSS BLUE SHIELD
—
01
—
863923
ARAZ GROUP/AMERICA'S PPO
—
01
—
HP29634
HEALTH PARTNERS
—
Enumeration date
10/26/2005
Last updated
11/28/2011
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