Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holley Medical Aesthetics PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1801577671

Holley Medical Aesthetics PLLC provides Plastic and Reconstructive Surgery Physician services in Portage, Michigan. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8175 Creekside Dr Ste 100
Portage, MI 49024-5370
Phone: (269) 222-1611
Fax: (269) 222-1607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1801577671
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Holley — Physician · (269) 222-1611
NPI enumeratedJuly 26, 2023
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023
Mailing address8175 Creekside Dr Ste 100, Portage, MI 49024-5370

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