Individual
MILDRED J WILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 S WASHINGTON AVE, SAGINAW, MI 48601-2551
(989) 793-7220
(989) 793-7482
Mailing address
5576 HICKORY LN, BAY CITY, MI 48706-9722
(989) 686-3824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301068063
MI
207Q00000X
Family Medicine Physician
01078101A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4090679
—
MI
Enumeration date
02/26/2007
Last updated
12/15/2018
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