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General NPI Number Information
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NPI Number | 1215386115
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Entity Type | Individual
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Provider Name | MICHAEL VERNON HOLLIS MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2016
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 2431 S M 30 STE 216
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City | WEST BRANCH
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State | MI
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Zip | 48661-9388
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Country | US
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Telephone | 989-343-1134
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 WELLNESS DR
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City | MIDLAND
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State | MI
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Zip | 48670-2000
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Country | US
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Telephone | 989-839-3000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301508144
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License Number State | MI
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