Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 5502005668 | MI |
NPI | 1003576091 |
---|---|
Provider Name | William Ash III |
First Address | Harrison Township, MI 48045-3487 |
Second Address | Harrison Township, MI 48045-3487 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2021 |
Last Update Date | 18/12/2021 |