Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 2176 | MI |
NPI | 1467495663 |
---|---|
Provider Name | Dr. Dale Wayne Williams |
First Address | Coldwater, MI 49036-2005 |
Second Address | Coldwater, MI 49036-2005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 08/07/2007 |