Individual
MR. MICHAEL L WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADULT NURSE PRACTITI
Contact information
Practice address
3201 KINGS HIGHWAY, BETH ISRAEL MEDICAL CENTER, BROOKLYN, NY 11234-2625
(718) 677-6669
Mailing address
3201 KINGS HIGHWAY, BROOKLYN, NY 11234-2625
(718) 677-6669
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
302775
NY
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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