# SYLVIA K HOLLOWELL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851718720
- **Authorized official:** LISA K HOLLOWELL WAN (MA)
- **Authorized official phone:** (248) 559-5640

## Contact information

- **Practice address:** 20905 GREENFIELD ROAD, SUITE 507, SOUTHFIELD, MI 48075
- **Practice address phone:** (248) 559-5640
- **Practice address fax:** (248) 559-7945
- **Mailing address:** 20905 GREENFIELD ROAD, SUITE 507, SOUTHFIELD, MI 48075
- **Mailing address phone:** (248) 559-5640
- **Mailing address fax:** (248) 559-7945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 4301068963 | MI | Yes |

## Other

- **Enumeration date:** 03/27/2014
- **Last updated:** 03/27/2014