| Doctor Name: | DR. JOHN MATTHEW HOLST |
| NPI Number: | 1669442406 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 0102201761 |
| Business Practice Address: | 407 E 3rd St Essentia Health St. Mary's Medical Center Duluth, MN - 558051950 |
| Business Phone Number: | 2187864357 |
| Business Fax Number: | |
| Mailing Address: | 407 E 3rd St, Essentia Health St. Mary's Medical Center DULUTH |
| State: | MN |
| Postal Code: | 558051950 |
| Phone Number: | 2187864357 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2006 |
| NPI Last Update Date: | 10/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0102201761 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |