Individual provider · Type 1 NPI

Todd Jeramie Holter, PAC

Physician Assistant · Woodbury, MN

NPI number 1396742896 Active

Practice location

155 Radio Dr
Woodbury, MN 55125-2619

Call (952) 831-8742 Map

Fax (952) 977-3459

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 · (651) 439-8807

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X1684 (WI)
Surgical Physician Assistant 363AS0400X9820 (MN)
Physician Assistant Primary 363A00000X9820 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1396742896

Todd Jeramie Holter, PAC's National Provider Identifier is 1396742896, issued on Jun 30, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Woodbury, MN. The record was last updated on Jun 30, 2023.