Healthcare Provider Details

I. General information

NPI: 1619663432
Provider Name (Legal Business Name): HUNTER MILLET HOLSINGER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2023
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E MEDICAL CENTER DRIVE, F6790 UH SOUTH, SPC5243
ANN ARBOR MI
48109-5243
US

IV. Provider business mailing address

1500 E MEDICAL CENTER DRIVE, F6790 UH SOUTH, SPC5243
ANN ARBOR MI
48109-5243
US

V. Phone/Fax

Practice location:
  • Phone: 734-936-9704
  • Fax:
Mailing address:
  • Phone: 734-936-9704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number5101029087
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: