Individual provider · Type 1 NPI

Samuel Vaughan Hanson Willis, MD

Family Medicine Physician · St. Paul, MN

NPI number 1467644757 Active

Practice location

2155 Ford Pkwy
St. Paul, MN 55116-1862

Fax (651) 696-5001

Other practice locations

  • 3270 W Lake St, Minneapolis, MN 55416-4512 · (612) 775-1800

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X49888 (MN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1467644757

Samuel Vaughan Hanson Willis, MD's National Provider Identifier is 1467644757, issued on Aug 10, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Paul, MN. The record was last updated on Mar 11, 2021.