MEDICARE: MICHAEL R HOLLAND MD INC

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	207X00000X	Orthopaedic Surgery Physician
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1720496284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL R HOLLAND MD INC

Provider Business Mailing Address
First Line	:	1 HOSPITAL DR
Second Line	:	SUITE 100
City	:	JENNINGS
State	:	LA
Zip	:	70546-3641
Country	:	US
Telephone Number	:	337-824-3819
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 HOSPITAL DR
Second Line	:	SUITE 100
City	:	JENNINGS
State	:	LA
Zip	:	70546-3641
Country	:	US
Telephone Number	:	337-824-3819
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL R HOLLAND
Credential	:	M.D.
Telephone Number	:	337-824-3819

Provider Enumeration Date	:	07/29/2014
Last Update Date	:	08/06/2014

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