Individual
DR. HENRY DONALD WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD018030E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007599280006
—
PA
01
—
0040485000
IBC
—
01
—
138182
UNISON
—
01
—
149816
HIGHMARK BLUE SHIELD
—
01
—
1503668
GATEWAY HEALTH PLAN
—
01
—
20021234
AMERIHEALTH MERCY
—
01
—
50049425
CBC
—
Enumeration date
09/30/2005
Last updated
03/04/2020
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