Healthcare Provider Details

I. General information

NPI: 1679542856
Provider Name (Legal Business Name): WILLIAM MICHAEL DOYLE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 BECKER AVE SW
WILLMAR MN
56201-3302
US

IV. Provider business mailing address

8801 N SHORE DR
SPICER MN
56288-9514
US

V. Phone/Fax

Practice location:
  • Phone: 320-231-4560
  • Fax:
Mailing address:
  • Phone: 320-796-0085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number18148
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number18148
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: