Holland, Michael Gerald

Holland, Michael Gerald is an individual health care provider with primary practice located at 102 Park St The Wound Healing Center, Glens Falls NY 12801-4403. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Holland, Michael Gerald can be contacted via phone (518) 926-1500.

Contact Information

Primary practice address
102 Park St The Wound Healing Center Glens Falls NY 12801-4403
Phone: (518) 926-1500
Fax: (518) 926-1505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 176961 New York
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 176961 New York
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 176961 New York
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 176961 New York

Profile Details

NPI number 1376513143
LBN Legal business name Holland, Michael Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Apr 5th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376513143 NPPES
New York MEDICAID 01140812
New York Other P00474069

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