Ted S Willis in Eden Prairie - Diagnostic Radiology
Ted S Willis - NPI 1548236235
Ted S Willis is a Diagnostic Radiology in Eden Prairie, Minnesota. Ted S Willis practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Ted S Willis is 1548236235. The last update date is 2022-07-11.
Ted S Willis's current location address is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can contact this provider via phone number 9525951301 and fax number 6122944903. The mailing address for Ted S Willis is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ted S Willis |
|---|---|
| Address | 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota |
| Phone Number | 9525951301 |
| Fax Number | 6122944903 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1548236235 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2022-07-11 |
Provider Mailing Address Detail
| Address | 11995 Singletree Ln Ste 500 |
|---|---|
| City | Eden Prairie |
| State | Minnesota (MN) |
| Post Code | 553445349 |
| Phone Number | 9525951301 |
| Fax Number | 6122944903 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | H2908 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 134481406 | TX | -- | |
| TIN PLUS113 | TX | TRICARE |
Post Comment/ Review Below
What is the Ted S Willis's unique identification number?
The Ted S Willis has been assigned the NPI (National Provider Identifier) Number 1548236235 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Ted S Willis is geographically located?
The Ted S Willis is physically situated at the following location: 11995 Singletree Ln Ste 500, Eden Prairie, MN, 553445349.
What is the Ted S Willis's specialty and taxonomy code?
The Ted S Willis's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date was the 1548236235 assigned to Ted S Willis?
The Ted S Willis was issued its 1548236235 on 2006-02-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ted S Willis most recently updated or refreshed?
The details pertaining to the Ted S Willis, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-11.