IndividualActive
Brian Willie
NPI 1154719144 · Surgical Physician Assistant · Holland, MI
Provider details
- NPI number
- 1154719144
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5601007254 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
370 N 120th Ave
Holland, MI 49424-2196
Phone: (616) 396-5855
Fax: (616) 396-5720
Approximate (ZIP-level) locationGet directions
Mailing address
370 N 120th Ave
Holland, MI 49424-2196
Registry dates
- Enumerated
- 2014-12-30
- Last updated
- 2014-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.