Individual
DR. EMANUEL WILLIS
Active
Individual
DR. EMANUEL WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
88
SC
213ES0131X
Foot Surgery Podiatrist
Primary
88
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9925
—
SC
05
—
PD0886
—
SC
Enumeration date
03/31/2006
Last updated
01/23/2010
Update your record
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