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Individual

DR. JOHN D. WILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
301 CHERRY HEIGHTS RD, THE DALLES, OR 97058-3586
(541) 296-1101
(541) 298-1538
Mailing address
301 CHERRY HEIGHTS RD, THE DALLES, OR 97058-3586
(541) 296-1101
(541) 298-1538

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
DO22937
OR
207W00000X
Ophthalmology Physician
OP00002068
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287610
OR
Enumeration date
05/17/2006
Last updated
07/14/2021
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