Individual
DR. MARK WILLIAM ANDREW HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 347-5101
Mailing address
13425 36TH AVE N, PLYMOUTH, MN 55441-1150
(651) 269-0429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54787
MN
Other
Enumeration date
06/01/2007
Last updated
10/15/2012
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