Individual
DR. PAUL A WILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-9268
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-00-5427-W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0897641
—
OH
Enumeration date
08/05/2006
Last updated
07/08/2007
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