Gary Hollander DO PLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601002389 Issued in MI

Legal business name

GARY HOLLANDER DO PLC

Practice address

620 N Pontiac TRL
Walled Lake, MI 48390-3443

Phone

(248) 624-4511

Fax

(248) 624-4408

NPI assigned

Apr 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Debbie Sue Witt-Haggerty

Title

Office Manager

Phone

(248) 624-4511

Specialties & licenses 3

Addresses

Other names 1

• Pontiac Trail Medical Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1790901072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N PONTIAC TRL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903443",
            "telephone_number": "248-624-4511",
            "fax_number": "248-624-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N PONTIAC TRL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903443",
            "telephone_number": "248-624-4511",
            "fax_number": "248-624-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY HOLLANDER DO PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WITT-HAGGERTY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-624-4511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "5101013058",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "5101012793",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pontiac Trail Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evan Fitzgerald, PTA
• Kyle Fog
• Marsha Lynn Foster, LLMSW
• Melissa Francetich
• Tania Lynn Garrant, MPT
• Katherine Marie Gates, LMT
• Christina Marie Giasone
• Elizabeth Gibson-Paruch, LBSW, QMHP
• Gold Coast Physio, LLC
• Marjorie Denise Goulet

• All providers in Walled Lake, MI
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.