Provider Demographics
NPI:1841227832
Name:TAPLEY, HOLLY S (MD)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:S
Last Name:TAPLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8008 M-139
Mailing Address - Street 2:
Mailing Address - City:BERRIEN SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49103
Mailing Address - Country:US
Mailing Address - Phone:269-471-1700
Mailing Address - Fax:269-471-1975
Practice Address - Street 1:8008 M-139
Practice Address - Street 2:
Practice Address - City:BERRIEN SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49103
Practice Address - Country:US
Practice Address - Phone:269-471-1700
Practice Address - Fax:269-471-1975
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301075075207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4108316Medicaid
MI4108316Medicaid
G56754Medicare UPIN