Ai-Xuan L Holterman
Pediatric Surgery
1725 W Harrison St Suite 818
Chicago
, Illinois 60612-3841
Ai-Xuan L Holterman
Pediatric Surgery
1725 W Harrison St Suite 818
Chicago
, Illinois 60612-3841
(260) 458-5658
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Ai-Xuan L Holterman
- 3926 New Vision Dr Bldg H
- Fort Wayne, IN
- Zip : 46845-1712
- Fax : (260) 458-5658
- Phone : (260) 266-8213
Second Address
- Ai-Xuan L Holterman
- 1725 W Harrison St Suite 818
- Chicago, IL
- Zip : 60612-3841
- Phone : (312) 942-5397
Reviews
FAQs
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Is Ai-Xuan L Holterman a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 01057253 | IN |
National Provider Identifier
| NPI | 1649228032 |
|---|---|
| Provider Name | Ai-Xuan L Holterman |
| First Address | Fort Wayne, IN 46845-1712 |
| Second Address | Chicago, IL 60612-3841 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2006 |
| Last Update Date | 18/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F16996 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.