Phillip John Villanueva, PA-C

NPI #1033511035 in Ypsilanti, Michigan

Provider Information

NPI Number: 1033511035
Entity Type: Individual
Name: Phillip John Villanueva, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 22, 2014
Last Updated: Nov 16, 2016

Practice Location

Address: 5301 E HURON RIVER DR
City: Ypsilanti
State: Michigan
ZIP Code: 48197-1051
Phone: (734) 712-8676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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