Individual
MICHAEL JAMES WILWAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
55 WEST TIETAN STREET, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1592
Mailing address
55 WEST TIETAN STREET, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1592
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101015498
MI
207X00000X
Orthopaedic Surgery Physician
Primary
OP00002294
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0233966
L & I
WA
05
—
8518730
—
WA
Enumeration date
05/05/2007
Last updated
08/19/2008
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