Individual provider · Type 1 NPI
Jeffrey Jon Willis, DO
Diagnostic Radiology Physician · Burnsville, MN
NPI number
1669431870
Active
Practice location
835 E 145th St
Burnsville, MN 55337-4623
Fax (612) 294-4903
Mailing address
11995 Singletree Ln, Suite 500
Eden Prairie, MN 55344-5347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 02844 (IA) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 50359 (MN) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Other diagnostic radiology physician providers in Burnsville
About NPI 1669431870
Jeffrey Jon Willis, DO's National Provider Identifier is 1669431870, issued on Mar 17, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Burnsville, MN. The record was last updated on Jun 22, 2015.