Individual
MICHELLE LYNN WILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MGC, CGC
Contact information
Practice address
8915 W CONNELL AVE, MILWAUKEE, WI 53226-3067
(414) 266-3347
Mailing address
PO BOX 1997, MILWAUKEE, WI 53201-1997
(414) 266-3347
(141) 266-1616
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
1261-61
WI
Other
Enumeration date
11/06/2023
Last updated
12/04/2023
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