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Dr. Scott Donald Holley, MD,FACS
Plastic Surgery Physician in Portage, Michigan
NPI 1811994841

Scott Donald Holley is a Plastic Surgery Physician based in Portage, MI. Scott Donald Holley practices in Portage, MI and has the professional credentials of MD,FACS. The NPI Number for Scott Donald Holley is 1811994841 and holds a License No. SH069904 (Michigan).

The current practice location address for Scott Donald Holley is 7971 Moorsbridge Rd, Portage, MI and can be reached out via phone at 269-329-2900 and via fax at 269-329-1408.

Location: 7971 Moorsbridge Rd, Portage, MI, 49024-4075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811994841
Provider Name
Scott Donald Holley
Credential
MD,FACS
Provider Entity Type
Individual
Gender
Male
Address
7971 Moorsbridge Rd, Portage, MI, 49024-4075
Phone Number
269-329-2900
Fax Number
269-329-1408
Provider Enumeration Date
07/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0C90475 01 MI BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
7971 Moorsbridge Rd
City
Portage
State
Michigan
Zip
49024-4075
Phone Number
269-329-2900
Fax Number
269-329-1408
person
Provider Business Mailing Address Details
Address
7971 Moorsbridge Rd
City
Portage
State
Michigan
Zip
49024-4075
Phone Number
269-329-2900
Fax Number
269-329-1408
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
-
Taxonomy
208200000X
License No.
SH069904 (Michigan)
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Surgery of the Hand
Taxonomy
2082S0105X
License No.
SH069904 (Michigan)
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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