Individual
DOUGLAS BRONSON HOLTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
16283 IPAVA AVE, LAKEVILLE, MN 55044-4658
(952) 898-2287
(952) 898-3287
Mailing address
3625 38TH AVE S, MINNEAPOLIS, MN 55406-2714
(612) 889-0781
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3469
MN
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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