MEDICARE: BRUCE DANIEL WILLNER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	34004681W	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609853076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE DANIEL WILLNER DO

Provider Business Mailing Address
First Line	:	3622 BELMONT AVE
Second Line	:	STE 18
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44505-1444
Country	:	US
Telephone Number	:	330-759-8050
Fax Number	:	330-759-1246

Provider Business Practice Location Address
First Line	:	3622 BELMONT AVE
Second Line	:	STE 18
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44505-1444
Country	:	US
Telephone Number	:	330-759-8050
Fax Number	:	330-759-1246

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	09/27/2018

Similar Medicare Providers

1326929423 — RACHEL RENEE STEGEMAN
Practice Location Address:

3622 BELMONT AVE STE 13
YOUNGSTOWN, OH
44505-1444

Practice Phone: 330-355-9998
Practice Fax:

1134464225 — MAHONING VALLEY BIRTH CENTER LLC
Practice Location Address:

3622 BELMONT AVE STE 21
YOUNGSTOWN, OH
44505-1444

Practice Phone: 330-406-9929
Practice Fax: 330-758-1141

1396080313 — MRS. CARLETTA C WILLIAMS FNP-C
Practice Location Address:

3622 BELMONT AVE STE 20
YOUNGSTOWN, OH
44505-1444

Practice Phone: 348-550-0612
Practice Fax: 348-550-0622

1720594450 — PINNACLE TREATMENT CENTERS OH-VIII, LLC
Practice Location Address:

3622 BELMONT AVE STE 21
YOUNGSTOWN, OH
44505-1444

Practice Phone: 234-719-1885
Practice Fax: 234-719-1916

1467958876 — JENNIFER R MORGENSTERN LCDC III
Practice Location Address:

3622 BELMONT AVE STE 21
YOUNGSTOWN, OH
44505-1444

Practice Phone: 234-719-1885
Practice Fax:

1730664558 — BRUCE WILLNER DO LLC
Practice Location Address:

3622 BELMONT AVE STE 18
YOUNGSTOWN, OH
44505-1444

Practice Phone: 330-759-8050
Practice Fax: 330-759-1246

Directions to “ BRUCE DANIEL WILLNER DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.