| Djholt Llc | |
|
2136 Ford Pkwy Ste 5061 Saint Paul MN 55116-1863 | |
| (651) 210-9306 | |
| Not Available |
| Full Name | Djholt Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2136 Ford Pkwy Ste 5061, Saint Paul, Minnesota |
| Authorized Official Name and Position | David Holt (OWNER) |
| Authorized Official Contact | 6512109306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Djholt Llc 2136 Ford Pkwy Ste 5061 Saint Paul MN 55116-1863 Ph: () - | Djholt Llc 2136 Ford Pkwy Ste 5061 Saint Paul MN 55116-1863 Ph: (651) 210-9306 |
| NPI Number | 1447827688 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 06/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447827688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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