Individual
HENRY S. WILLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 TELESTAR CT, FALLS CHURCH, VA 22042-1206
(703) 396-6194
(703) 779-1372
Mailing address
2900 TELESTAR CT, FALLS CHURCH, VA 22042-1206
(703) 396-6194
(703) 779-1372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01010029800
VA
207Q00000X
Family Medicine Physician
D25137
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5615194
—
VA
Enumeration date
05/01/2006
Last updated
07/07/2010
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