| Doctor Name: | DERRICK WILLIAMSON |
| NPI Number: | 1215922059 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | DW009333 |
| Business Practice Address: | 28479 7 Mile Rd Livonia, MI - 481523501 |
| Business Phone Number: | 2484429320 |
| Business Fax Number: | 2484428840 |
| Mailing Address: | 28479 7 Mile Rd, LIVONIA |
| State: | MI |
| Postal Code: | 481523501 |
| Phone Number: | 2484429320 |
| Fax Number: | 2484428840 |
| NPI Enumeration Date: | 09/19/2005 |
| NPI Last Update Date: | 01/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | DW009333 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |