Dr John Daniel Holstine, MD is a
Urology physician based in Fairmont, Minnesota. Dr John Daniel Holstine is licensed to practice in Minnesota (license number 19394) and his current practice location is 800 Medical Center Dr, Fairmont, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(507) 235-6036.
NPI number for Dr John Daniel Holstine is 1205833746 and his current mailing address is 800 Medical Center Dr, Fairmont, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205833746.
Physician's Profile
| Full Name | Dr John Daniel Holstine |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 800 Medical Center Dr, Fairmont, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205833746
- Provider Enumeration Date: 06/30/2005
- Last Update Date: 04/12/2012
Medical Identifiers
Medical identifiers for Dr John Daniel Holstine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205833746 | NPI | - | NPPES |
| 691768200 | Medicaid | MN | |
| 0951178 | Other | | IOWA MEDICAL ASSIST. |
| 341095099 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 19394 (Minnesota) | Primary |
| 208800000X | Urology | 17358 (Iowa) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Daniel Holstine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Daniel Holstine, MD
800 Medical Center Dr,
Fairmont, MN 56031-4575
Ph: (507) 235-6036 | Dr John Daniel Holstine, MD
800 Medical Center Dr,
Fairmont, MN 56031-4575
Ph: (507) 235-6036 |
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