Individual
WILLARD PETER DEBRABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1761 WELLS AVE, MUSKEGON, MI 49442-2459
(231) 773-3228
(231) 773-3482
Mailing address
1761 WELLS AVE, MUSKEGON, MI 49442-2459
(231) 773-3228
(231) 773-3482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5101006662
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101551
PREFERRED CHOICES
MI
05
—
103308
—
MI
01
—
1429
PH
MI
01
—
1910582
UNITED HEALTHCARE
MI
05
—
2101067
—
MI
01
—
3456110440
BCR
MI
01
—
3456139255
COMM
MI
01
—
382273611
COMM
MI
01
—
4098761
AETNA
MI
01
—
P54169
BCN
MI
Enumeration date
05/23/2005
Last updated
04/07/2015
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