BRIAN HOLM IMDIEKE

MINNEAPOLIS, MN
NPI1164764064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MN  R 157007-6)
Enumeration Date2013-03-19
Last Update Date2013-03-19
Business Address
-- BRIAN HOLM IMDIEKE CNP
701 PARK AVE
MINNEAPOLIS, MN 55415-1623
Phone number: 612-873-4401
Mailing Address
-- BRIAN HOLM IMDIEKE CNP
701 PARK AVE
MINNEAPOLIS, MN 55415-1623
Phone number:
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