Organization
HOLLEY MEDICAL AESTHETICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HOLLEY MD (PHYSICIAN)
(269) 222-1611
Entity
Organization
Contact information
Practice address
8175 CREEKSIDE DR STE 100, PORTAGE, MI 49024-5370
(269) 222-1611
(269) 222-1607
Mailing address
8175 CREEKSIDE DR STE 100, PORTAGE, MI 49024-5370
(269) 222-1611
(269) 222-1607
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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