Individual
DR. DEIRDRE C HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20905 GREENFIELD RD, SOUTHFIELD, MI 48075-5347
(248) 569-5577
(248) 569-6211
Mailing address
20905 GREENFIELD ROAD, 301, SOUTHFIELD, MI 48075-5347
(248) 569-5577
(248) 569-6211
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
030365
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104288635
—
MI
Enumeration date
06/01/2006
Last updated
07/08/2007
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