Healthcare Provider Details

I. General information

NPI: 1285215855
Provider Name (Legal Business Name): RACHEL MICHELLE HOLLANDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 WILSON RD STE A110
EAST LANSING MI
48824-6410
US

IV. Provider business mailing address

300 E 1ST ST STE 201
FLINT MI
48502-1900
US

V. Phone/Fax

Practice location:
  • Phone: 517-353-1730
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301514093
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: