NPI 1780032706

Michael Willis, DPM

Practitioner Foot & Ankle Surgery Podiatrist Kingsport, TN

Practice location

Address: 1 Sheridan Sq STE 102, Kingsport, TN 37660-7398
Phone: (423) 722-5200

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence DPMOOOOOOO883 (TN)

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Registry record

NPI: 1780032706
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2016
Record last updated: 22 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.