Dr. David John Willis, MD
Dr. David John Willis, MD is a Colorectal Surgery (Proctology) in St Louis Park, Minnesota. Graduated from New York University School of Medicine in 1999, 27 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.
- Years since qualifying
- 27
- Trained at
- New York University School of Medicine
- Licensed in
- MN
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
3931 Louisiana Ave S Meadowbrook Bldg Ste W-200St Louis Park, MN 55426-4375
Phone: (952) 993-3466
Fax: (952) 993-3653
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Colon & Rectal Surgery Physician (primary) | Taxonomy 208C00000X · Licence 48801 (MN) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 48801 (MN) |
Record details
| NPI number | 1760537534 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | January 24, 2007 |
| Last updated in NPPES | July 2, 2021 |
| Certification date | July 2, 2021 |
Medicare enrollment
| Medicare specialty | COLORECTAL SURGERY (PROCTOLOGY) |
|---|---|
| Also practises | GENERAL SURGERY |
| Medical school | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1999 (27 years in practice) |
| Group practice | Park Nicollet Clinic — 1773 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in St Louis Park
-
Andrew J K Smith
6490 Excelsior Blvd #E500 Park Nicollet Clinic - Meadowbrook, St Louis Park, MN 55426 · (952) 993-7342
-
Dr. Brian K Sparkman, MD, MS
3931 Louisiana Ave S, St Louis Park, MN 55426-5000 · (952) 993-3123
-
Ted H Spooner
6500 Excelsior Blvd Park Nicollet Clinic - Heart & Vascular Ctr, St Louis Park, MN 55426-4702 · (952) 993-3246
-
Paul S Vietzen
3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 · (952) 993-3653