Individual
SAMUEL VAUGHAN HANSON WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2155 FORD PKWY, SAINT PAUL, MN 55116-1862
(651) 696-5000
(651) 696-5001
Mailing address
2155 FORD PKWY, SAINT PAUL, MN 55116-1862
(651) 696-5000
(651) 696-5001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49888
MN
Other
Enumeration date
08/10/2007
Last updated
03/11/2021
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