NPI

Scott Donald Holley

NPI 1811994841

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
M.D., F.A.C.S.
Type
Individual
Enumeration date
2005-07-06
Last updated
2013-04-17

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Specialties

Licenses

License MI
SH069904

Location

Practice location
7971 Moorsbridge Rd
City
Portage MI
Postal code
49024-4075
Phone
(269) 329-2900

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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