MEDICARE: DR. ROBERT F HOLLIS III MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	8505	MT
2	207T00000X	Neurological Surgery Physician	35120685	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	18161	OTHER	MT	BLUE CROSS

General Provider Information

NPI Number	:	1477506111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT F HOLLIS III MD

Provider Business Mailing Address
First Line	:	3401 WELLNESS WAY
Second Line	:
City	:	FINDLAY
State	:	OH
Zip	:	45840-9547
Country	:	US
Telephone Number	:	419-420-7304
Fax Number	:	419-420-7317

Provider Business Practice Location Address
First Line	:	3401 WELLNESS WAY
Second Line	:
City	:	FINDLAY
State	:	OH
Zip	:	45840-9547
Country	:	US
Telephone Number	:	419-420-7304
Fax Number	:	419-420-7317

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	06/02/2026

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