| Daniel Holloway MD PC | |
|
91 N Saginaw St Suite 101 Pontiac MI 48342-2165 | |
| (248) 333-7891 | |
| (248) 333-0121 |
| Full Name | Daniel Holloway MD PC |
|---|---|
| Speciality | Surgery |
| Location | 91 N Saginaw St, Pontiac, Michigan |
| Authorized Official Name and Position | Daniel K Holloway (PRESIDENT) |
| Authorized Official Contact | 2483337891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Holloway MD PC Po Box 432021 Pontiac MI 48343-2021 Ph: (248) 333-7891 | Daniel Holloway MD PC 91 N Saginaw St Suite 101 Pontiac MI 48342-2165 Ph: (248) 333-7891 |
| NPI Number | 1457677932 |
|---|---|
| Provider Enumeration Date | 04/09/2010 |
| Last Update Date | 05/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457677932 | NPI | - | NPPES |
| 1811290 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301047942 (Michigan) | Secondary |
| 208600000X | Surgery | 4301047942 (Michigan) | Primary |
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