IndividualActive
David Willis, MD
NPI 1760537534 · Colon & Rectal Surgery Physician · St Louis Park, MN
Provider details
- NPI number
- 1760537534
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 48801 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3931 Louisiana Ave S
Meadowbrook Bldg Suite W-200
St Louis Park, MN 55426-4375
Phone: (952) 993-3466
Fax: (952) 993-3653
Approximate (ZIP-level) locationGet directions
Mailing address
8170 33rd Ave S # Ms 21110q
Bloomington, MN 55425-4516
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2021-07-02
- Certified
- 2021-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.