Individual
MATTHEW M WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1229 C AVE E, OSKALOOSA, IA 52577-4298
(641) 672-3360
Mailing address
1229 C AVE E, OSKALOOSA, IA 52577-4298
(641) 672-3394
(641) 672-3336
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D155119
IA
Other
Enumeration date
06/25/2019
Last updated
03/10/2022
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