Male or Other

Bryce C. Holmgren M.D.

Anesthesiology Physician in Saint Cloud, MN(View on Map)

Full Name

Bryce C Holmgren M.D.

NPI Number

1063464378

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/16/2006

Specialties

(Taxonomies)

Code

207L00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

34843

Contact
Information

Purpose

Mailing
Location

Address

14700 28TH AVE N
1526 NORTHWAY DR

City

Plymouth
Saint Cloud

State

MN
MN

Postal Code

55447-4835
56303-1255

Country

US
US

Telephone Number

(763) 559-3779
(320) 251-8385

Identifiers

Identifier

179720400

Identifier State

MN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/14/2024

Provider Address

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