Individual
MITCHELL B HOLLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 ORCHARD LAKE RD STE 300, WEST BLOOMFIELD, MI 48322-3405
(248) 539-9036
(248) 539-9267
Mailing address
20952 E 12 MILE RD, SUITE 200, ST CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301060214
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01004454
HEALTH PLUS
MI
01
—
102142
PRIORITY HEALTH
MI
01
—
2389324001
CIGNA
MI
01
—
340006536
RAILROAD MEDICARE
MI
01
—
4592173
AETNA
MI
01
—
F31238
HAP
MI
Enumeration date
04/20/2006
Last updated
10/03/2019
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