GARY HOLLANDER DO PLC
NPI 1790901072
Physician Assistant in Walled Lake, MI

Q: What is Gary Hollander Do Plc's NPI number?

The NPI number for Gary Hollander Do Plc is 1790901072. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as Pontiac Trail Medical Center.

Q: What is Gary Hollander Do Plc's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since April 17, 2007

620 N PONTIAC TRL, WALLED LAKE, MI 48390(248) 624-4511(248) 624-4408 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Gary Hollander Do Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY HOLLANDER DO PLC (NPI 1790901072), doing business as Pontiac Trail Medical Center, is a healthcare organization registered as a physician assistant in Walled Lake, Michigan and active in the NPI registry since April 2007. The organization lists Debbie Sue Witt-haggerty, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790901072

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameGARY HOLLANDER DO PLC

Location Address620 N PONTIAC TRLWalled Lake, MI 48390-3443

Mailing Address620 N Pontiac TrlWalled Lake, MI 48390-3443 · (248) 624-4511 · Fax (248) 624-4408

Phone(248) 624-4511

Fax(248) 624-4408

Organization SubpartNo

Authorized OfficialDebbie Sue Witt-haggertyOffice Manager · (248) 624-4511

Enumeration DateApril 17, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1790901072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601002389

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License 5101013058 (MI)

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 5101012793 (MI)

Other Names 1

Doing Business AsPontiac Trail Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Pontiac Trail Pharmacy carries, from the Medicare DMEPOS supplier directory.

Pontiac Trail Pharmacy

DMEPOS supplier · Walled Lake, MIOperated by Pontiac Trail Pharmacy Inc

✔

Accepts Medicare assignment

Pontiac Trail Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20554865

Medicare Participant SinceNovember 1, 2008

Supplier Location620 N Pontiac TrlWalled Lake, MI 48390

Phone(248) 669-2776

Supplier Specialties

Certified Other Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Ostomy Supplies

Pouches, Paste, Powder, Barrier wipes

Urological Supplies

Catheters, Urinary collection devices

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLE FOG

Student in an Organized Health Care Education/Training Program