Individual
JAY HOLLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 W 13 MILE RD, STE. 407, ROYAL OAK, MI 48073-6769
(248) 551-0638
(248) 551-4491
Mailing address
20952 12 MILE ROAD, SUITE 200, SAINT CLAIR SHORES, MI 48081-3203
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301043235
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E06273
BCBSM
MI
05
—
1638800
—
MI
01
—
D90153
HAP
MI
Enumeration date
03/24/2006
Last updated
10/21/2020
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