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Individual

MICHAEL WILLIAM-MULLIGAN WILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
17877 W 14 MILE RD, BEVERLY HILLS, MI 48025
(248) 644-3920
(248) 644-2569
Mailing address
26211 CENTRAL PARK BLVD STE 201, SOUTHFIELD, MI 48076-4158
(248) 845-4381

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601008296
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1142935
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
Enumeration date
07/07/2017
Last updated
04/14/2026
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