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Individual

DR. MICHAEL P WILLEMSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2 OLD CHURCH RD, WARREN, NJ 07059-5803
(908) 447-7009
Mailing address
2 OLD CHURCH RD, WARREN, NJ 07059-5803
(908) 447-7009

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38MC00689200
NEW JERSEY LICENSE
NJ
01
X013357
NY LICENSE
NY
Enumeration date
02/06/2010
Last updated
05/16/2024
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