Individual
MICHAEL GERALD HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 PARK ST, THE WOUND HEALING CENTER, GLENS FALLS, NY 12801-4403
(518) 926-1500
(518) 926-1505
Mailing address
PO BOX 304, GLENS FALLS, NY 12801
(518) 926-1500
(518) 926-1505
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
176961
NY
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
176961
NY
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
176961
NY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
176961
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01140812
—
NY
01
—
P00474069
RR MEDICARE
NY
Enumeration date
01/25/2006
Last updated
04/05/2017
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