Individual
DR. CHRISTOPHER BRADLEY WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
7322 236TH AVE, SALEM, WI 53168-9664
(262) 671-7550
(262) 671-7555
Mailing address
7322 236TH AVE, SALEM, WI 53168-9664
(262) 671-7550
(262) 671-7555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101019951
MI
207R00000X
Internal Medicine Physician
Primary
64174
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K400616957
MEDICARE
WI
Enumeration date
06/06/2012
Last updated
01/06/2020
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