Individual
DR. ALAN W HOLSHOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 KISKER RD, SUITE 200, SAINT CHARLES, MO 63304-8781
(636) 498-5830
(636) 498-5846
Mailing address
1551 WALL ST, SUITE 310, SAINT CHARLES, MO 63303-3539
(636) 669-2268
(696) 669-2401
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R1K53
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202777215
—
MO
Enumeration date
04/01/2006
Last updated
02/11/2011
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