Mitchell Willert
Mitchell Willert is a Student in an Organized Health Care Education/Training Program in Lolo, Montana. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
5510 Bison LnLolo, MT 59847-9757
Phone: (608) 287-4077
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1184166126 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 8, 2016 |
| Last updated in NPPES | July 19, 2024 |
| Certification date | July 19, 2024 |
| Mailing address | 1830 Essex Dr, Sun Prairie, WI 53590-3517 |