Individual
BRUCE DANIEL WILLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3622 BELMONT AVE, STE 18, YOUNGSTOWN, OH 44505-1444
(330) 759-8050
(330) 759-1246
Mailing address
3622 BELMONT AVE, STE 18, YOUNGSTOWN, OH 44505-1444
(330) 759-8050
(330) 759-1246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004681W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0791899
—
OH
Enumeration date
12/28/2005
Last updated
09/27/2018
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