Individual
ANGELICA NICOLE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
420 DELAWARE ST. SE, MAYO MAIL CODE 741, MINNEAPOLIS, MN 55455-0341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71023
MN
207R00000X
Internal Medicine Physician
71537-20
WI
208000000X
Pediatrics Physician
71023
MN
208000000X
Pediatrics Physician
71537-20
WI
Other
Enumeration date
03/28/2018
Last updated
07/27/2022
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