Organization

Bruce Willner Do Llc

Family Medicine Physician in Youngstown, OH(View on Map)

Legal Business Name

Bruce Willner Do Llc

NPI Number

1730664558

NPI Type

Organization

Enumeration Date

09/27/2018

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

3622 BELMONT AVE STE 18
3622 BELMONT AVE STE 18

City

Youngstown
Youngstown

State

OH
OH

Postal Code

44505-1444
44505-1444

Country

US
US

Telephone Number

(330) 759-8050
(330) 759-8050

Authorized Official

Name

Bruce Willner

Title or Position

OWNER/PRESIDENT

Telephone Number

(330) 759-8050

Identifiers

Identifier

34-004681
0791899

Identifier State

OH
OH

Identifier Issuer

LIC #
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/27/2018

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