Individual
RICHARD JONATHAN WILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
17105
NV
2080P0202X
Pediatric Cardiology Physician
Primary
62462
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821384264
—
WI
Enumeration date
06/23/2011
Last updated
05/09/2025
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