Provider Demographics
NPI:1437183944
Name:HOLLOWAY, STEPHEN FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:FRANCIS
Last Name:HOLLOWAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:420 DELAWARE STREET SE, MMC 295
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-625-9900
Mailing Address - Fax:612-625-7950
Practice Address - Street 1:516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1A
Practice Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-626-3004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN397952084N0600X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP28825OtherHEALTHPARTNERS
MN05-00049OtherMEDICA CHOICE
MN121380OtherUCARE
IA0988253Medicaid
MN770127OtherARAZ
MN09R87HOOtherBCBS
MN1015988OtherPREFERRED ONE
MN09R87HOOtherBCBS