Individual
DR. HENRY DONALD WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1417 8TH AVE, BETHLEHEM, PA 18018-2256
(484) 526-5210
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
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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