Individual
DONALD ROGER WILLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
017748
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000095235C
—
GA
05
—
000095235D
—
GA
01
—
0908757
UHC
GA
01
—
10062468
AMERIGROUP
GA
01
—
1312061
CIGNA
GA
01
—
339676
WELLCARE
GA
01
—
52024086
BCBS
GA
Enumeration date
07/25/2006
Last updated
06/03/2009
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