Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 11957 | ND |
NPI | 1104074483 |
---|---|
Provider Name | Daniel Williams |
First Address | Minot, ND 58702-5010 |
Second Address | Minot, ND 58701-4768 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2008 |
Last Update Date | 11/01/2019 |