Organization
GARY HOLLANDER DO PLC
Active
Other names
Pontiac Trail Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE SUE WITT-HAGGERTY (OFFICE MANAGER)
(248) 624-4511
Entity
Organization
Contact information
Practice address
620 N PONTIAC TRL, WALLED LAKE, MI 48390-3443
(248) 624-4511
(248) 624-4408
Mailing address
620 N PONTIAC TRL, WALLED LAKE, MI 48390-3443
(248) 624-4511
(248) 624-4408
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
5101013058
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
5101012793
MI
363A00000X
Physician Assistant
Primary
5601002389
MI
Other
Enumeration date
04/17/2007
Last updated
09/11/2025
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