Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | D12130 | MN |
NPI | 1013036995 |
---|---|
Provider Name | Dr. Holger Peter Meiser |
First Address | Minnetonka, MN 55345-4130 |
Second Address | Minnetonka, MN 55345-4130 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 26/07/2020 |