Individual
ALEXANDER WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2320 FREEWAY DR, MOUNT VERNON, WA 98273-5445
(360) 814-6800
(360) 814-6953
Mailing address
2501 KUSER RD STE 3, HAMILTON, NJ 08691-3386
(609) 896-0444
(609) 587-4349
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA09602900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2012
Last updated
04/20/2021
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