David John Willis in St Louis Park - Colon & Rectal Surgery

David John Willis - NPI 1760537534

David John Willis is a Colon & Rectal Surgery in St Louis Park, Minnesota. David John Willis practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for David John Willis is 1760537534. The last update date is 2021-07-02.

David John Willis's current location address is 3931 Louisiana Ave S, St Louis Park, Minnesota. You can contact this provider via phone number 9529933466 and fax number 9529933653. The mailing address for David John Willis is 3931 Louisiana Ave S, St Louis Park, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name David John Willis
Address 3931 Louisiana Ave S, St Louis Park, Minnesota
Phone Number 9529933466
Fax Number 9529933653
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1760537534
Provider Enumeration Date 2007-01-24
Last Updated Date 2021-07-02

Provider Mailing Address Detail

Address 3931 Louisiana Ave S
City St Louis Park
State Minnesota (MN)
Post Code 554264375
Phone Number 9529933466
Fax Number 9529933653

Provider's Primary Taxonomy Detail

Speciality Colon & Rectal Surgery
Taxonomy 208C00000X
Licence No 48801
Definition:
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv

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FAQs about David John Willis

What is the unique 10-digit identification code issued to David John Willis by the Centers for Medicare & Medicaid Services?

The David John Willis has been assigned the NPI (National Provider Identifier) 1760537534 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of David John Willis?

The David John Willis is situated at 3931 Louisiana Ave S, in the city of St Louis Park, state of MN, with the zip code 554264375.

What is the area of specialization for David John Willis, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for David John Willis is Colon & Rectal Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208C00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1760537534 to David John Willis?

The Centers for Medicare & Medicaid Services originally issued the 1760537534 to David John Willis on 2007-01-24.

As of what date was the information regarding David John Willis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to David John Willis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-07-02.

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