Martin Lee Willman in Saint Peters - Otolaryngology
Martin Lee Willman - NPI 1194758698
Martin Lee Willman is a Otolaryngology in Saint Peters, Missouri. Martin Lee Willman practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Martin Lee Willman is 1194758698. The last update date is 2012-04-11.
Martin Lee Willman's current location address is 4790 Executive Centre Pkwy, Saint Peters, Missouri. You can contact this provider via phone number 6364413100 and fax number 6364416784. The mailing address for Martin Lee Willman is 4790 Executive Centre Pkwy, Saint Peters, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin Lee Willman |
|---|---|
| Address | 4790 Executive Centre Pkwy, Saint Peters, Missouri |
| Phone Number | 6364413100 |
| Fax Number | 6364416784 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194758698 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2012-04-11 |
Provider Mailing Address Detail
| Address | 4790 Executive Centre Pkwy |
|---|---|
| City | Saint Peters |
| State | Missouri (MO) |
| Post Code | 633761606 |
| Phone Number | 6364413100 |
| Fax Number | 6364416784 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | R5106 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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What is the unique identification code assigned to Martin Lee Willman by the Centers for Medicare & Medicaid Services?
The Martin Lee Willman has been issued the NPI (National Provider Identifier) 1194758698. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Martin Lee Willman?
The Martin Lee Willman is situated at 4790 Executive Centre Pkwy, in the city of Saint Peters, state of MO, with the zip code 633761606.
What is Martin Lee Willman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Martin Lee Willman is Otolaryngology, and the taxonomy code that classifies this field of practice is 207Y00000X.
When did Martin Lee Willman receive its 1194758698 assignment?
The Martin Lee Willman was assigned its 1194758698 on 2006-07-08, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Martin Lee Willman most recently updated or revised?
The information pertaining to Martin Lee Willman, including its address, specialty, and other relevant details, was last updated or revised on 2012-04-11.
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