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Dr. Willie Van Ross, MD
Specialist in Hayward, California
NPI 1871536342

Willie Van Ross is a Specialist based in Hayward, CA. Willie Van Ross practices in Hayward, CA and has the professional credentials of MD. The NPI Number for Willie Van Ross is 1871536342 and holds a License No. G53544 (California).

The current practice location address for Willie Van Ross is 22290 Foothill Blvd, Hayward, CA and can be reached out via phone at 510-581-1446 and via fax at 510-518-1805.

Location: 22290 Foothill Blvd, Hayward, CA, 94541-2731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871536342
Provider Name
Willie Van Ross
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
22290 Foothill Blvd, Hayward, CA, 94541-2731
Phone Number
510-581-1446
Fax Number
510-518-1805
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0067540 05 CA
institution
Provider Business Practice Location Address Details
Address
22290 Foothill Blvd
City
Hayward
State
California
Zip
94541-2731
Phone Number
510-581-1446
Fax Number
510-518-1805
person
Provider Business Mailing Address Details
Address
22290 Foothill Blvd
City
Hayward
State
California
Zip
94541-2731
Phone Number
510-581-1446
Fax Number
510-518-1805
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G53544 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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