Provider Demographics
NPI:1902913957
Name:HOLTE, DAVID CARL (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:CARL
Last Name:HOLTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4200 DAHLBERG DR STE 300
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4841
Mailing Address - Country:US
Mailing Address - Phone:763-520-7870
Mailing Address - Fax:763-520-7580
Practice Address - Street 1:4010 W 65TH ST
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-1706
Practice Address - Country:US
Practice Address - Phone:952-456-7000
Practice Address - Fax:952-456-7001
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2019-01-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN31293207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
73B16HOOtherBLUE CROSS BLUE SHIELD
945927OtherMEDICA
81338800OtherWISC MEDICAID
MN185800900Medicaid
102896E948OtherUCARE
969990824024OtherPREFERREDONE
HP13541OtherHEALTHPARTNERS