Individual
MICHAEL S HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 742-2141
Mailing address
PO BOX 270592, LOUISVILLE, CO 80027-5009
(405) 947-5557
(405) 948-6507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
TL784
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314995
BCBS KID CARE
WY
Enumeration date
03/15/2007
Last updated
04/17/2008
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