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Individual
DR. TERRY WILLS
Active
Individual
DR. TERRY WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003314L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1502116
GATEWAY
PA
01
—
203328
UPMC
—
01
—
2520552/4574572PPO
AETNA
—
01
—
8596-1327
GEISINGER
—
01
—
99382
HEALTH AMERICA
—
01
—
WI548171
BC/BS
—
Enumeration date
06/16/2005
Last updated
07/08/2007
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