Search › Minnesota › 208C00000X
David Willis, MD
NPI 1760537534 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3931 Louisiana Ave S
Meadowbrook Bldg Suite W-200
St Louis Park, MN 55426 - Phone
- (952) 993-3466
- Fax
- (952) 993-3653
- Organisation at this address
- Park Nicollet Health Care Products
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 162
Registry record
- Primary taxonomy
- 208C00000X
208C00000X
- Also registered as
- 208600000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota