Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 2301006006 | MI |
Y | 213ER0200X | Radiology | 2301006006 | MI |
NPI | 1992748834 |
---|---|
Provider Name | William M Williams |
First Address | East Lansing, MI 48823-2284 |
Second Address | East Lansing, MI 48823-2284 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 09/07/2007 |