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Organization
WILL FAMILY MEDICAL GROUP, A PROFESSIONAL CORPORATION
Active
Organization
WILL FAMILY MEDICAL GROUP, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LAWRENCE WILL MD (OWNER)
(989) 466-7094
Entity
Organization
Contact information
Practice address
42575 WASHINGTON ST, PALM DESERT, CA 92211-8850
(760) 360-0333
Mailing address
42575 WASHINGTON ST, PALM DESERT, CA 92211-8850
(760) 360-0333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A136246
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A136246
STATE LICENSE NUMBER
CA
Enumeration date
04/18/2017
Last updated
04/12/2024
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