Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 148178 | CA |
Y | 208600000X | Surgeon | 148178 | CA |
N | 208200000X | Surgeon | 4301099492 | MI |
N | 208600000X | Surgeon | 4301099492 | MI |
N | 208C00000X | Colorectal Surgeon | 148178 | CA |
N | 208C00000X | Colorectal Surgeon | 38764 | CO |
N | 208C00000X | Colorectal Surgeon | 4301099492 | MI |
NPI | 1023002151 |
---|---|
Provider Name | Dr. Maria Williamson House |
First Address | Jackson, CA 95642-9348 |
Second Address | Jackson, CA 95642-2536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2005 |
Last Update Date | 19/02/2021 |