Individual
JOALLE L HOLMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2805 CAMPUS DR STE 105, PLYMOUTH, MN 55441-2677
(763) 519-7440
(763) 519-7445
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
(651) 602-5309
(651) 222-6786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10016
MN
Other
Enumeration date
01/10/2007
Last updated
03/17/2018
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