Dr David John Willis, MD is a medicare enrolled "Colon & Rectal Surgery" physician in St Louis Park, Minnesota. His current practice location is
3931 Louisiana Ave S, Meadowbrook Bldg Suite W-200, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 993-3466.
Dr David John Willis is licensed to practice in Minnesota (license number 48801) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760537534.
Physician's Profile
Full Name | Dr David John Willis |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 3931 Louisiana Ave S, St Louis Park, Minnesota |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr David John Willis attended and graduated from in
NPI Data:
- NPI Number: 1760537534
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 07/02/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr David John Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760537534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 48801 (Minnesota) | Secondary |
208C00000X | Colon & Rectal Surgery | 48801 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David John Willis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr David John Willis, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Dr David John Willis, MD 3931 Louisiana Ave S, Meadowbrook Bldg Suite W-200, St Louis Park, MN 55426-4375 Ph: (952) 993-3466 |
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