Individual
DR. GARY F WILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
961 MICA DR, CARSON CITY, NV 89705-7269
(530) 544-8333
(530) 542-1455
Mailing address
961 MICA DR, CARSON CITY, NV 89705-7269
(775) 267-6700
(775) 267-6609
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G53304
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700857422
—
CA
Enumeration date
01/30/2006
Last updated
03/07/2013
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