Most Relevant Information
Provider Data
| NPI Number: | 1003489659 |
| Provider Name: | STEPHANIE HOLWERDA |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 2270197 |
Most Important Dates
| Enumeration Date: | 07/21/2021 |
| Last Updated: | 07/21/2021 |
Provider Practice Location
607 W MAIN ST STE 200
MARSHALL
MN
562583171
Practice Location Phone/Fax
| Phone: | 5075376713 |
| Fax: |
Provider Mailing Location
706 N 4TH ST
MARSHALL
MN
562581415
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |