Organization
SYLVIA K HOLLOWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA K HOLLOWELL WAN (MA)
(248) 559-5640
Entity
Organization
Contact information
Practice address
20905 GREENFIELD ROAD, SUITE 507, SOUTHFIELD, MI 48075
(248) 559-5640
(248) 559-7945
Mailing address
20905 GREENFIELD ROAD, SUITE 507, SOUTHFIELD, MI 48075
(248) 559-5640
(248) 559-7945
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4301068963
MI
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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