Individual
DAVID WILLIAM WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-5000
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
(740) 352-4127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
279699
OH
Other
Enumeration date
06/12/2006
Last updated
11/18/2009
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