MICHAEL WILLIAM-MULLIGAN WILLE (NPI# 1730601162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730601162 |
| Entity Type | Individual |
| Full Name | MICHAEL WILLIAM-MULLIGAN WILLE |
| Credential | PA-C |
| Practice Address |
17877 W 14 Mile Rd Beverly Hills MI 48025 |
| Mailing Address |
139 Northwood Ave Rochester MI 48307-1543 |
| Practice Telephone | 2486443920 |
| Practice Fax Number | 2486442569 |
| Mailing Telephone | 2489309547 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2018-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601008296 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS | 1142935 | 01 |
| Street Address |
17877 W 14 MILE RD |
| City | BEVERLY HILLS |
| State | MI |
| Zip Code | 48025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043292964 | J Michael Wiater | Orthopaedic Surgery | 17877 W 14 Mile Rd, Beverly Hills, MI 48025-3127 | 2005-11-16 |
| 1841738648 | Michigan Orthopaedic Surgeons Pllc | Orthopaedic Surgery | 17877 W 14 Mile Rd, Beverly Hills, MI 48025-3127 | 2017-02-01 |
| 1396122883 | James Michael Vandaele | Physician Assistant | 17877 W 14 Mile Rd, Beverly Hills, MI 48025 | 2015-05-04 |
| 1396140166 | Jamie Leigh Szkodzinski | Physician Assistant | 17877 W 14 Mile Rd, Beverly Hills, MI 48025-3127 | 2014-10-23 |
| 1578991295 | Brett P Wiater Md PC | Orthopaedic Surgery | 17877 W 14 Mile Rd, Beverly Hills, MI 48025-3127 | 2013-10-15 |
| 1871807297 | Marilyn Adair Corrigan | Occupational Therapist | 17877 W 14 Mile Rd, Beverly Hills, MI 48025-3127 | 2010-07-27 |
| 1154432714 | Brett Peter Wiater | Orthopaedic Surgery | 17877 W 14 Mile Rd, Beverly Hills, MI 48025-3127 | 2006-08-31 |
| 1649248931 | Gregory Victor Sobol | Orthopaedic Surgery | 17877 W 14 Mile Rd, Beverly Hills, MI 48025 | 2006-03-10 |
| 1952383879 | Patrick J Wiater | Orthopaedic Surgery | 17877 W 14 Mile Rd, Beverly Hills, MI 48025-3127 | 2005-11-16 |
| 1265414189 | Thomas D Magnell | Orthopaedic Surgery | 17877 W 14 Mile Rd, Beverly Hills, MI 48025-3127 | 2005-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396071908 | Shiva Farahvashi | Physician Assistant | 450 N. Bedord Dr. Ste 209, Beverly Hills, CA 90210-4306 | 2009-11-02 |
| 1679714620 | Adam Hall | Physician Assistant | 99 N La Cienega Blvd Ste 200, Beverly Hills, CA 90211-2285 | 2009-03-20 |
| 1477707453 | Gina Eun Bae | Physician Assistant | 435 N Bedford Dr Ste 312, Beverly Hills, CA 90210-4314 | 2008-11-04 |
| 1336176304 | Valerie Anne Luethge Stern | Physician Assistant | 150 N Robertson Blvd Ste 304, Beverly Hills, CA 90211-2145 | 2006-06-27 |
| 1104467596 | Randee Shapiro | Physician Assistant | 8767 Wilshire Blvd Fl 3, Beverly Hills, CA 90211-2714 | 2019-10-07 |
| 1265093926 | Diana Boktor | Physician Assistant | 8501 Wilshire Blvd Ste 150, Beverly Hills, CA 90211-3148 | 2019-06-24 |
| 1477046456 | Michael Alexander Martone | Physician Assistant | 239 S La Cienega Blvd Ste 100, Beverly Hills, CA 90211-3355 | 2018-06-13 |
| 1255851259 | Hind Fakhoury | Physician Assistant | 8501 Wilshire Blvd Ste 150, Beverly Hills, CA 90211 | 2017-06-21 |
| 1588017693 | Jennifer Rebecca Afari | Physician Assistant | 240 S La Cienega Blvd, Beverly Hills, CA 90211-3324 | 2016-07-14 |
| 1760877666 | Chanel Gordon | Physician Assistant | 8500 Wilshire Blvd, Beverly Hills, CA 90211-3121 | 2015-03-30 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 48025 |
Please comment or provide details below to improve the information on MICHAEL WILLIAM-MULLIGAN WILLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.