Jonathan Myles Gardner Willatt, Mb, ChB
Radiology, Diagnostic Radiology in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1124198544
StatusActive
Last updated in NPPESApr 4, 2012
Details
- NPI
- 1124198544
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Myles Gardner Willatt
- Credential
- Mb, ChB
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2006
- Last updated
- Apr 4, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 4301085245 | MI | Yes |
Practice location
1500 East Medical Center DrB1 Floor University Hospital Recp C
Ann Arbor, MI 48109-5030
Phone 734-936-4566
Mailing address
3621 S State St700 Kms Place
Ann Arbor, MI 48108
Phone 734-936-2047
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