Doctor Name: | PAULA E WILLIAMSON |
NPI Number: | 1275588873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 4301041206 |
Business Practice Address: | 11477 East 12 Mile Road Warren, MI - 480932678 |
Business Phone Number: | 5867510200 |
Business Fax Number: | 5867510414 |
Mailing Address: | 11477 East 12 Mile Road, WARREN |
State: | MI |
Postal Code: | 480932678 |
Phone Number: | 5867510200 |
Fax Number: | 5867510414 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301041206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |