Doctor Name: | DR. CHANNA B WILLIAMS |
NPI Number: | 1285757021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 5901002245 |
Business Practice Address: | 10005 Joseph Campau St Hamtramck, MI - 482123221 |
Business Phone Number: | 3137824098 |
Business Fax Number: | 3137824977 |
Mailing Address: | 10005 Joseph Campau St, HAMTRAMCK |
State: | MI |
Postal Code: | 482123221 |
Phone Number: | 3137824098 |
Fax Number: | 3137824977 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 03/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 5901002245 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |