Glen E Holt, MD is a
Obstetrics & Gynecology physician based in Superior, Wisconsin. Glen E Holt is licensed to practice in Minnesota (license number 17038) and his current practice location is 3600 Tower Ave, Superior, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 392-1955.
NPI number for Glen E Holt is 1366678773 and his current mailing address is 3600 Tower Ave, Superior, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366678773.
Physician's Profile
| Full Name | Glen E Holt |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 3600 Tower Ave, Superior, Wisconsin |
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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: 1366678773
- Provider Enumeration Date: 06/01/2009
- Last Update Date: 12/19/2011
Medical Identifiers
Medical identifiers for Glen E Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366678773 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 17038 (Minnesota) | Primary |
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. Glen E Holt 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 |
|---|
Glen E Holt, MD
3600 Tower Ave,
Superior, WI 54880-5337
Ph: (715) 392-1955 | Glen E Holt, MD
3600 Tower Ave,
Superior, WI 54880-5337
Ph: (715) 392-1955 |
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