Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 6873 | MN |
N | 111NR0400X | Rehabilitation Chiropractor | 6873 | MN |
NPI | 1316513245 |
---|---|
Provider Name | Dr. Ann Elizabeth Williams |
First Address | Shakopee, MN 55379-3372 |
Second Address | Shorewood, MN 55331-4542 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2021 |
Last Update Date | 10/01/2022 |