Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samuel Vaughan Hanson Willis, MD

Individual provider Family Medicine Physician · NPI 1467644757

Samuel Vaughan Hanson Willis, MD is a Family Medicine Physician in Saint Paul, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2155 Ford Pkwy
Saint Paul, MN 55116-1862
Phone: (651) 696-5000
Fax: (651) 696-5001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3270 W Lake St, Minneapolis, MN 55416-4512 — (612) 775-1800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 49888 (MN)

Record details

NPI number1467644757
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2007
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

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