Individual
JOSEPH WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 HENICAN PL, METAIRIE, LA 70003-1311
(504) 621-2929
Mailing address
4101 HENICAN PL, METAIRIE, LA 70003-1311
(504) 621-2929
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD.206880
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2012
Last updated
05/27/2025
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