Provider Demographics
NPI:1699739425
Name:HOLLANDER, HAROLD N (DO)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:N
Last Name:HOLLANDER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5900 BYRON CENTER AVE SW
Mailing Address - Street 2:MEDICAL ADMINSTRATION
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-9606
Mailing Address - Country:US
Mailing Address - Phone:616-252-3243
Mailing Address - Fax:616-252-0260
Practice Address - Street 1:1179 E PARIS AVE SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-8371
Practice Address - Country:US
Practice Address - Phone:616-252-5760
Practice Address - Fax:616-252-5765
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2017-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIHH010730207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIF81493Medicare UPIN
MIM57350063Medicare PIN
MI1699739425Medicaid