Individual
WILLIAM DARYLL PARKKONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-4690
(906) 225-4675
Mailing address
PO BOX 220, MARQUETTE, MI 49855-0220
(906) 225-4690
(906) 225-4675
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704207327
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4956101
—
MI
01
—
WP207327
BCBSM
MI
Enumeration date
12/18/2006
Last updated
02/25/2008
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