Doctor Name: | HOLLY MARIE WILLIAMS |
NPI Number: | 1184935041 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 4301096216 |
Business Practice Address: | 1535 Gull Rd Msb 015 Kalamazoo, MI - 490481650 |
Business Phone Number: | 2692266933 |
Business Fax Number: | 2692266949 |
Mailing Address: | 1535 Gull Rd, Msb 015 KALAMAZOO |
State: | MI |
Postal Code: | 490481650 |
Phone Number: | 2692266933 |
Fax Number: | 2692266949 |
NPI Enumeration Date: | 06/25/2010 |
NPI Last Update Date: | 12/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 4301096216 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |