Provider Demographics
NPI:1013094663
Name:HOLLOWELL, SYLVIA KRISTINE (MD)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:KRISTINE
Last Name:HOLLOWELL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 WELLESLEY DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48203-1477
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20905 GREENFIELD
Practice Address - Street 2:#507
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075
Practice Address - Country:US
Practice Address - Phone:248-559-5640
Practice Address - Fax:248-559-7945
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301068963207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H01746Medicare UPIN
ON23300Medicare ID - Type Unspecified