NPI 1033511035

Phillip John Villanueva, PAC

Practitioner Physician Assistant Ypsilanti, MI

Practice location

Address: 5301 E Huron River Dr, Ypsilanti, MI 48197-1051
Phone: (734) 712-8676
Fax: (734) 712-3855
Mailing address: 24 Frank Lloyd Wright Dr PO Box 0446 - Lobby J, Ann Arbor, MI 48105-9484

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601007173 (MI)

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Registry record

NPI: 1033511035
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2014
Record last updated: 16 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.