Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 4301028358 | MI |
NPI | 1033349238 |
---|---|
Provider Name | Dr. William H. Mccreary |
First Address | Grosse Pointe Woods, MI 48236-1733 |
Second Address | Grosse Pointe Woods, MI 48236-1733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2009 |
Last Update Date | 22/07/2009 |