Healthcare Provider Details

I. General information

NPI: 1437183944
Provider Name (Legal Business Name): STEPHEN FRANCIS HOLLOWAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1A UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS MN
55455
US

IV. Provider business mailing address

420 DELAWARE STREET SE, MMC 295 UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS MN
55455
US

V. Phone/Fax

Practice location:
  • Phone: 612-626-3004
  • Fax:
Mailing address:
  • Phone: 612-625-9900
  • Fax: 612-625-7950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number39795
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number39795
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: