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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLEN E HOLT, MD

Active

GLEN E HOLT, MD is a Obstetrics & Gynecology healthcare provider located in SUPERIOR, Wisconsin. NPI 1366678773 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · SUPERIOR, WI

Registration Details

NPI Number
1366678773
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2009 (17.248873501573 yrs)
Last Updated
Dec 19, 2011
License
17038 (MN)

Practice Information

Address
3600 TOWER AVE
SUPERIOR, WI, 548805337
Browse WI providers · Browse ZIP 54880
Phone
7153921955
Primary Specialty
Obstetrics & Gynecology
207V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.