GARY HOLLANDER DO PLC NPI 1790901072

NPI Details

GARY HOLLANDER DO PLC is a physician assistant in Walled Lake, MI. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. GARY HOLLANDER DO PLC NPI is 1790901072. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

620 N PONTIAC TRL
WALLED LAKE, MI
ZIP 48390-443
Phone: (248) 624-4511
Fax: (248) 624-4408

The provider's authorized official is Debbie Sue Witt-haggerty .
The authorized official title is Office Manager and has the following contact phone number (248) 624-4511.

The CLIA number assigned to this NPI record is 23D0691773 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: