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Dr. Davontae Willis, MD
Student in an Organized Health Care Education/Training Program in Westlake, Ohio
NPI 1972293256

Davontae Willis is a Student in an Organized Health Care Education/Training Program based in Westlake, OH. Davontae Willis practices in Westlake, OH and has the professional credentials of MD. The NPI Number for Davontae Willis is 1972293256 and holds a License No. (Ohio).

The current practice location address for Davontae Willis is 29000 Center Ridge Rd, Westlake, OH and can be reached out via phone at 614-966-7445.

Location: 29000 Center Ridge Rd, Westlake, OH, 44145-5219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972293256
Provider Name
Davontae Willis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
29000 Center Ridge Rd, Westlake, OH, 44145-5219
Phone Number
614-966-7445
Fax Number
Provider Enumeration Date
05/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
29000 Center Ridge Rd
City
Westlake
State
Ohio
Zip
44145-5219
Phone Number
614-966-7445
Fax Number
person
Provider Business Mailing Address Details
Address
29000 Center Ridge Rd
City
Westlake
State
Ohio
Zip
44145-5219
Phone Number
614-966-7445
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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