Individual
ANDREW HOLMSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 777-7801
Mailing address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
1158
SD
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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