Provider Demographics
NPI:1184840514
Name:WU, WILLIS M (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIS
Middle Name:M
Last Name:WU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2800 BLUE RIDGE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6477
Mailing Address - Country:US
Mailing Address - Phone:919-784-1321
Mailing Address - Fax:919-784-7111
Practice Address - Street 1:2800 BLUE RIDGE RD STE 201
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6477
Practice Address - Country:US
Practice Address - Phone:919-784-1321
Practice Address - Fax:919-784-7111
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2021-05-21
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Provider Licenses
StateLicense IDTaxonomies
NC2007-01060207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease