Individual
DR. MICHELLE ROSE WILLENBRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
407 KAYS DR, NORMAL, IL 61761-1958
(309) 454-1010
(309) 454-1077
Mailing address
407 KAYS DR, NORMAL, IL 61761-1958
(309) 454-1010
(309) 454-1077
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009292
IL
Other
Enumeration date
06/15/2006
Last updated
11/08/2010
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