Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 40717 | MN |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 40717 | MN |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 40717 | MN |
NPI | 1487605655 |
---|---|
Provider Name | Christa K Hoiland |
First Address | Minneapolis, MN 55413-1761 |
Second Address | Minneapolis, MN 55413-1761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2006 |
Last Update Date | 22/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G72935 | (02) | MN |