Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TODD JERAMIE HOLTER, PAC
ActiveTODD JERAMIE HOLTER, PAC is a Physician Assistant healthcare provider located in WOODBURY, Minnesota. NPI 1396742896 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WOODBURY, MN
Registration Details
- NPI Number
- 1396742896
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2005 (21.084686329921 yrs)
- Last Updated
- Jun 30, 2023
- Licenses
-
1684 (WI)9820 (MN)9820 (MN)
Practice Information
- Address
-
155 RADIO DRWOODBURY, MN, 551252619Browse MN providers · Browse ZIP 55125
- Phone
- 9528318742
- Fax
- 9529773459
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in WOODBURY, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. JODI LYN BAUMGARTNER | PA-C | 1689668303 |
| CHRISTOPHER WILLIAM DUESMAN | PA-C | 1750379103 |
| KENNETH ALLEN MITCHELL | PA-C | 1922096379 |
| MS. EUNICE LEE | PA | 1053301036 |
| DARREL L COTCH | PA | 1164495016 |
| JENNIFER SUSAN ELLIS | PA-C | 1013986611 |
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.