Individual
MARY-STEWART WILLSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-0001
(130) 273-3100
Mailing address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-0001
(130) 273-3100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C7-0004280
DE
Other
Enumeration date
05/11/2009
Last updated
07/25/2013
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