| Byron C Holth, MD | |
|
11269 Jefferson Hwy N, Champlin, MN 55316-3123 | |
| (763) 236-0600 | |
| Not Available |
| Full Name | Byron C Holth |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 11269 Jefferson Hwy N, Champlin, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184680464 | NPI | - | NPPES |
| 508200500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24071 (Minnesota) | Primary |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Byron C Holth, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Byron C Holth, MD 11269 Jefferson Hwy N, Champlin, MN 55316-3123 Ph: (763) 236-0600 |
Ms. Michelle Rose Wilkening, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 | |
Dr. Eftu Omer Boru, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 Fax: 763-427-0790 | |
Brittany Ann Schultz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500 | |
Dr. John W. Apostol, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500 | |
Dr. Gordon James Lester, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11349 Preserve Ln N, Champlin, MN 55316 Phone: 763-323-0527 | |
Allison R Hotujec, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 Fax: 763-427-9626 |