Seann Elise Willson
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
4466 W Bristol Rd
Flint
, Michigan 48507-3170
Seann Elise Willson
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
4466 W Bristol Rd
Flint
, Michigan 48507-3170
(810) 733-0688
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Seann Elise Willson
- 4466 W Bristol Rd
- Flint, MI
- Zip : 48507-3170
- Fax : (810) 733-0688
- Phone : (810) 733-1200
Second Address
- Seann Elise Willson
- 4466 W Bristol Rd
- Flint, MI
- Zip : 48507-3170
- Fax : (810) 733-0688
- Phone : (810) 733-1200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 4301091485 | MI |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 4301091485 | MI |
National Provider Identifier
| NPI | 1033236823 |
|---|---|
| Provider Name | Seann Elise Willson |
| First Address | Flint, MI 48507-3170 |
| Second Address | Flint, MI 48507-3170 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2007 |
| Last Update Date | 11/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0251416 | BCBSM (01) | MI |
| 0N45090 | MEDICARE GROUP PTAN (01) | MI |
| 1033236823 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.