Individual
DR. KEITH D. WILLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711
(570) 808-7762
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD462670
PA
207P00000X
Emergency Medicine Physician
MT208606
PA
Other
Enumeration date
06/27/2015
Last updated
09/19/2018
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