Brendan Charles-Mulligan Wille, PA-C

NPI #1063233963 in Rochester, Michigan

Provider Information

NPI Number: 1063233963
Entity Type: Individual
Name: Brendan Charles-Mulligan Wille, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 23, 2024
Last Updated: Oct 23, 2024

Practice Location

Address: 139 NORTHWOOD AVE
City: Rochester
State: Michigan
ZIP Code: 48307-1543
Phone: (248) 770-6356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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