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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN WILLIE

Active

BRIAN WILLIE is a Surgical Physician Assistant healthcare provider located in HOLLAND, Michigan. NPI 1154719144 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · HOLLAND, MI

Registration Details

NPI Number
1154719144
Provider Type
Individual
Gender
Male
NPI Issued
Dec 30, 2014 (11.612124527903 yrs)
Last Updated
Dec 30, 2014
License
5601007254 (MI)

Practice Information

Address
370 N 120TH AVE
HOLLAND, MI, 494242196
Browse MI providers · Browse ZIP 49424
Phone
6163965855
Fax
6163965720
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in HOLLAND, MI

Name Credential NPI
SCOTT M TUINSTRA PA 1568559086
ELIZABETH M CARLSON PA-C 1316346752
CHRISTINA WANG PA-C 1952812273
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.