Organization
STUART WILLNER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA R IRVINE (BILLER)
(734) 285-3057
Entity
Organization
Contact information
Practice address
222 W HIGHLAND RD, HIGHLAND, MI 48357
(248) 889-7600
Mailing address
353 NORTH DRIVE, WYANDOTTE, MI 48192
(734) 285-3057
(734) 285-3057
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101005829
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0558226125
BC BS OF MI
MI
Enumeration date
08/22/2006
Last updated
08/22/2020
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