Gary Michael Hollander (NPI# 1902896749, PAC ID# 0749264208) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1902896749 |
| PAC ID by PECOS | 0749264208 |
| Professional Enrollment ID | I20100916000894 |
| Full Name | Gary Michael Hollander |
| Organization Legal Name | ENVISION MEDICAL GROUP PLLC |
| Address |
620 N Pontiac Trl Walled Lake MI 48390-3448 |
| Phone Number | 2486244511 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0840315867 |
| Number of Group Practice Members | 57 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230302 | HENRY FORD WEST BLOOMFIELD HOSPITAL |
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| 230277 | HURON VALLEY-SINAI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 620 N Pontiac Trl, Walled Lake, MI 48390-3448 | 2486244511 | ENVISION MEDICAL GROUP PLLC |
| Organization Legal Name | ENVISION MEDICAL GROUP PLLC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Saleh | Internal Medicine | Envision Medical Group Pllc | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 |
| Radu D Purtuc | Podiatry | Envision Medical Group Pllc | 12660 10 Mile Rd, South Lyon, MI 48178-9141 |
| Sarah A Goehmann | Nurse Practitioner | Envision Medical Group Pllc | 422 N Ctr St, Northville, MI 48167-1224 |
| David Y Ellenberg | Ophthalmology | Envision Medical Group Pllc | 33400 W Six Mile Rd, Suite B, Livonia, MI 48152-3143 |
| Randall T Wurtz | Family Medicine | Envision Medical Group Pllc | 42931 W Seven Mile Rd, Northville, MI 48167-2277 |
| Thomas L Selznick | Family Medicine | Envision Medical Group Pllc | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2794 |
| Patrick Robert Brennan | Family Medicine | Envision Medical Group Pllc | 22024 Pontiac Trl, South Lyon, MI 48178-9410 |
| Mary A Miceli | Physician Assistant | Envision Medical Group Pllc | 42931 W Seven Mile Rd, Northville, MI 48167-2277 |
| Paul D Jackson | Family Medicine | Envision Medical Group Pllc | 42931 W Seven Mile Rd, Northville, MI 48167-2277 |
| David W Prieskorn | Orthopedic Surgery | Envision Medical Group Pllc | 42931 W Seven Mile Rd, Northville, MI 48167-2277 |
| Street Address |
620 N PONTIAC TRL |
| City | WALLED LAKE |
| State | MI |
| Zip | 48390-3448 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Saleh | Internal Medicine | Envision Medical Group Pllc | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 |
| Carina J Crookston | Family Medicine | Envision Medical Group Pllc | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 |
| David H Mcaree | Hospice/palliative Care | Envision Medical Group Pllc | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 |
| Ross B Feinman | Podiatry | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Jane Grahn | Clinical Social Worker | Easter Seals - Michigan, Inc. | 1010 E W Maple, Easter Seals Walled Lake, Walled Lake, MI 48390 |
| Charene Thiede | Clinical Social Worker | Oakland Family Services | 2045 W Maple Rd, Suite 407, Walled Lake, MI 48390 |
| Colleen Courtney Gross | Clinical Social Worker | Easter Seals - Michigan, Inc. | 1010 E W Maple, Easter Seals Walled Lake, Walled Lake, MI 48390 |
| Joelee Bateman | Clinical Social Worker | Easter Seals - Michigan, Inc. | 1010 E W Maple, Easter Seals Walled Lake, Walled Lake, MI 48390 |
| Zahra H Moshref | Nurse Practitioner | Easter Seals - Michigan, Inc. | 1010 E W Maple, Easter Seals Walled Lake, Walled Lake, MI 48390 |
| Sandra K Deering | Nurse Practitioner | Easter Seals - Michigan, Inc. | 1010 E W Maple, Easter Seals Walled Lake, Walled Lake, MI 48390 |
| Ewa A Kubicz | Clinical Social Worker | Oakland Family Services | 2045 W Maple Rd, Suite 407, Walled Lake, MI 48390 |
| Heidi La Ret | Clinical Social Worker | Easter Seals - Michigan, Inc. | 1010 E W Maple, Easter Seals Walled Lake, Walled Lake, MI 48390 |
| William Jason Finn | Chiropractic | 2344 S Commerce Rd, Walled Lake, MI 48390-2126 | |
| Paul Eckley | Chiropractic | 2352 S Commerce Rd, Walled Lake, MI 48390-2128 | |
| Find all physicians in zip 48390 | |||
| City | WALLED LAKE |
| Zip Code | 48390 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WALLED LAKE + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.