Individual
MICHAEL J WILLERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 KENYON RD, FORT DODGE, IA 50501-5742
(515) 574-6865
Mailing address
24 N 9TH ST, SUITE A, FORT DODGE, IA 50501-3909
(515) 574-6890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31679
IA
Other
Enumeration date
02/03/2006
Last updated
12/22/2016
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