Individual
BRETT MICHAEL WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 S 12TH ST, NEW CASTLE, IN 47362-4632
(765) 544-0656
Mailing address
416 S 12TH ST, NEW CASTLE, IN 47362-4632
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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