Individual
DUSTIN L HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 649-2511
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01075564A
IN
207Q00000X
Family Medicine Physician
01075564B
IN
207Q00000X
Family Medicine Physician
11016839A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201072570
—
IN
01
—
P01170024
RR MEDICARE
IN
Enumeration date
06/22/2012
Last updated
02/27/2026
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