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Individual
JOSEPH E WILLIS
Active
Individual
JOSEPH E WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
35-064955
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030263
ANTHEM
OH
01
—
000000224343
UNISON
OH
01
—
000000528785
ANTHEM
OH
05
—
0127311
—
OH
01
—
0127464
BCMH
OH
01
—
0661297
AETNA
OH
05
—
1265458509
—
MI
01
—
220017472
RAILROAD MEDICARE
OH
01
—
364137
WELLCARE
OH
01
—
751029
BUCKEYE
OH
01
—
P00420617
RAILROAD MEDICARE
OH
Enumeration date
07/13/2006
Last updated
07/22/2011
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