BRIAN WILLIE

HOLLAND, MI
NPI1154719144
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: MI  5601007254)
Enumeration Date2014-12-30
Last Update Date2014-12-30
Business Address
BRIAN WILLIE
370 N 120TH AVE
HOLLAND, MI 49424-2196
Phone number: 616-396-5855
Mailing Address
BRIAN WILLIE
370 N 120TH AVE
HOLLAND, MI 49424-2196
Phone number: 616-396-5855
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