Individual
MICHAEL J. WILLETS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
700 S LIMESTONE ST, SPRINGFIELD, OH 45505-1941
(937) 328-2027
(937) 328-6866
Mailing address
2734 COUNTRY SQUIRE DR, NEW CARLISLE, OH 45344-9566
(937) 845-1411
(937) 845-9784
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 179
OH
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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