Organization
JOHN D HOLLANDER DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DIRK HOLLANDER DPM (PODIATRIST OWNER)
(707) 578-1222
Entity
Organization
Contact information
Practice address
95 MONTGOMERY DR STE 114, SANTA ROSA, CA 95404-6617
(707) 578-1222
(707) 578-8348
Mailing address
95 MONTGOMERY DR STE 114, SANTA ROSA, CA 95404-6617
(707) 578-1222
(707) 578-8348
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2845
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E28450
—
CA
Enumeration date
05/01/2007
Last updated
10/06/2020
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