Willy, Mildred J

Willy, Mildred J is an individual health care provider with primary practice located at 800 S Washington Ave , Saginaw MI 48601-2551. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Willy, Mildred J can be contacted via phone (989) 793-7220.

Contact Information

Primary practice address
800 S Washington Ave Saginaw MI 48601-2551
Fax: (989) 793-7482
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01078101A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301068063 Michigan

Profile Details

NPI number 1407982291
LBN Legal business name Willy, Mildred J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Dec 15th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407982291 NPPES
Michigan MEDICAID 4090679

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