Individual provider · Type 1 NPI

Alexis K. Willmore

Medical Physician Assistant · St. Joseph, MI

NPI number 1205454402 Active

Practice location

1234 Napier Ave
St. Joseph, MI 49085-2112

Other practice locations

  • 3950 Hollywood Rd Ste 280, St. Joseph, MI 49085-9151 · (269) 982-5864
  • 1015 Cambridge Dr, Kalamazoo, MI 49001-4414 · (269) 290-4331

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601010094 (MI)
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X5601010094 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1205454402

Alexis K. Willmore's National Provider Identifier is 1205454402, issued on Jul 14, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Joseph, MI. The record was last updated on Dec 30, 2025.