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Todd Holter, PAC
NPI 1396742896 · on the registry since 2005
Practice
- Address
- 155 Radio Dr
Woodbury, MN 55125 - Phone
- (952) 831-8742
- Fax
- (952) 977-3459
- Organisation at this address
- Park Nicollet Health Care Products
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 62
Additional practice sites
- 5803 Neal Ave N, Oak Park Heights, MN
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Surgical Physician Assistant
Surgical Physician Assistant - Licence states on file
- WI, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota