Provider Demographics
NPI:1255898862
Name:HUTCHINGS, HOLLIS ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:HOLLIS
Middle Name:ELIZABETH
Last Name:HUTCHINGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HOLLIS
Other - Middle Name:ELIZABETH
Other - Last Name:JOHANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3084 BUCKINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-1363
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2799 W GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2689
Practice Address - Country:US
Practice Address - Phone:313-932-0272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-01
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program