Individual
MICHAEL E VILLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
431 NE REVERE AVE, SUITE B, BEND, OR 97701-6752
(541) 312-1145
Mailing address
431 NE REVERE AVE, BEND, OR 97701-4189
(541) 312-1145
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD22932
OR
Other
Enumeration date
05/12/2006
Last updated
08/26/2011
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