Individual
BRENDAN CHARLES-MULLIGAN WILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1455 S LAPEER RD STE 100, LAKE ORION, MI 48360-1468
(248) 693-3551
(248) 693-4643
Mailing address
25010 30 MILE RD, LENOX, MI 48050-1501
(248) 770-6356
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012822
MI
Other
Enumeration date
10/23/2024
Last updated
03/09/2026
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