Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 4301102200 | MI |
Y | 2084N0400X | Neurologist | 4301102200 | MI |
NPI | 1114240173 |
---|---|
Provider Name | Dr. Craig Andrew Williamson |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2010 |
Last Update Date | 31/07/2013 |