# GARY HOLLANDER DO PLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pontiac Trail Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790901072
- **Authorized official:** MRS. DEBBIE SUE WITT-HAGGERTY (OFFICE MANAGER)
- **Authorized official phone:** (248) 624-4511

## Contact information

- **Practice address:** 620 N PONTIAC TRL, WALLED LAKE, MI 48390-3443
- **Practice address phone:** (248) 624-4511
- **Practice address fax:** (248) 624-4408
- **Mailing address:** 620 N PONTIAC TRL, WALLED LAKE, MI 48390-3443
- **Mailing address phone:** (248) 624-4511
- **Mailing address fax:** (248) 624-4408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | 5101013058 | MI | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | 5101012793 | MI | — |
| 363A00000X | Physician Assistant | 5601002389 | MI | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 09/11/2025