Todd Jeramie Holter, PAC

NPI #1396742896 in Woodbury, Minnesota

Provider Information

NPI Number: 1396742896
Entity Type: Individual
Name: Todd Jeramie Holter, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jun 30, 2005
Last Updated: Jun 30, 2023

Practice Location

Address: 155 RADIO DR
City: Woodbury
State: Minnesota
ZIP Code: 55125-2619
Phone: (952) 831-8742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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