Willis, David John

Willis, David John is an sole proprietor health care provider with primary practice located at 3931 Louisiana Ave S Meadowbrook Bldg Suite W-200, St Louis Park MN 55426-4375. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Willis, David John can be contacted via phone (952) 993-3466.

Contact Information

Primary practice address
3931 Louisiana Ave S Meadowbrook Bldg Suite W-200 St Louis Park MN 55426-4375
Phone: (952) 993-3466
Fax: (952) 993-3653
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 48801 Minnesota
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 48801 Minnesota

Profile Details

NPI number 1760537534
LBN Legal business name Willis, David John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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