Ted S Willis is a Diagnostic Radiology Physician based in Eden Prairie, MN and is specialized in Diagnostic Radiology. Ted S Willis practices in Eden Prairie, MN and has the professional credentials of MD. The NPI Number for Ted S Willis is 1548236235 and holds a License No. H2908 (Minnesota).
The current practice location address for Ted S Willis is 11995 Singletree Ln Ste 500, Eden Prairie, MN and can be reached out via phone at 952-595-1301 and via fax at 612-294-4903.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134481406 | 05 | TX | |
| TIN PLUS113 | 01 | TX | TRICARE |
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