DR. SCOTT DONALD HOLLEY M.D., F.A.C.S.

Surgery Yellow Pages

Portage, Michigan

Provider NPI: 1811994841

Provider Information:
DR. SCOTT DONALD HOLLEY M.D., F.A.C.S.


Practice Location:
7971 MOORSBRIDGE RD  PORTAGE, MI 49024 US
Tel: 269-329-2900  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	2082S0105X	Physicians Plastic Surgery Surgery of the Hand	MI	SH069904
Y	208200000X	Physicians Plastic Surgery	MI	SH069904

Other Provider Identifiers:

Issuer	Number	State	Type
BLUE CROSS/BLUE SHIELD	0C90475	MI	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin