Individual
ADISA JOANNA WILLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3124 INTERNATIONAL BLVD, OAKLAND, CA 94601-2902
(510) 535-4400
(510) 261-6438
Mailing address
3124 INTERNATIONAL BLVD, OAKLAND, CA 94601-2902
(510) 535-4400
(510) 261-6438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A067105
CA
207R00000X
Internal Medicine Physician
A067105
CA
Other
Enumeration date
07/18/2006
Last updated
01/12/2012
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