Individual
DR. CHRISTIAAN ANTHONY WILLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
110 N NAPPANEE ST, ELKHART, IN 46514-1956
(574) 293-5216
(574) 522-1239
Mailing address
110 N NAPPANEE ST, ELKHART, IN 46514-1956
(574) 293-5216
(574) 522-1239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010401A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13128866432
—
IN
Enumeration date
09/09/2005
Last updated
12/02/2011
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