| Doctor Name: | STANLEY TYLER HOLLMIG |
| NPI Number: | 1033437835 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A113333 |
| Business Practice Address: | 450 Broadway St Pavilion B 4th Floor Mc 5338 Redwood City, CA - 940633132 |
| Business Phone Number: | 6507255272 |
| Business Fax Number: | 6507213451 |
| Mailing Address: | 450 Broadway St, Pavilion B 4th Floor Mc 5338 REDWOOD CITY |
| State: | CA |
| Postal Code: | 940633132 |
| Phone Number: | 6507255272 |
| Fax Number: | 6507213464 |
| NPI Enumeration Date: | 05/04/2010 |
| NPI Last Update Date: | 09/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207NP0225X |
| License Number: | A113333 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Dermatology |
| Taxonomy Specialization: | Pediatric Dermatology |
| Taxonomy Definition: | A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |