Individual
DR. CHRISTOPHER BRADLEY WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
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
Update your record
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