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Contact Information

DONALD E WILLMAN, DO
751 KENMOOR AVENUE SE BRIGHTWAVE PAIN THERAPY
GRAND RAPIDS, MI49546
 Phone: 616-608-5551
 Fax: 616-608-5551
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for DONALD E WILLMAN · (Male)

NPI # 1184641771
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/17/2006
Last updated 02/01/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OS-3647
  • MI License # 5101006554
  • OH License # 34 002975
  • WI License # 25116-021
  • MI Medicaid 1184641771
  • MI Medicaid 3469627
  • MI Medicaid 3469645
  • MI Other 5651018 BCBS
  • MI Other DW006554 BLUESHIELD
Hospital affiliation(s)
  • MERCY HOSPITAL - CADILLAC - (Acute Care)
    400 HOBART ST
    CADILLAC, MI 49601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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