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Individual

DR. MICHAEL E. WILLERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1754 NORTHAMPTON STREET, HOLYOKE, MA 01040
(413) 315-3117
(866) 229-2767
Mailing address
1754 NORTHAMPTON STREET, HOLYOKE, MA 01040
(413) 315-3117
(866) 229-2767

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
237999
MA
2080P0202X
Pediatric Cardiology Physician
Primary
237999
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008030403
CT
05
110080495A
MA
Enumeration date
03/30/2007
Last updated
05/27/2022
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