Individual
MR. ANDRE VINCENT HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2373 64TH ST SW, BYRON CENTER, MI 49315-7974
(616) 685-1350
(616) 261-7191
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301099153
MI
208000000X
Pediatrics Physician
4301099153
MI
Other
Enumeration date
07/19/2011
Last updated
07/20/2015
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