Doctor Name: | TERRI LYNN WILLIAMS |
NPI Number: | 1720114507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 4301065469 |
Business Practice Address: | 611 Court St West Branch, MI - 486618820 |
Business Phone Number: | 9893457000 |
Business Fax Number: | 9893457479 |
Mailing Address: | 611 Court St, WEST BRANCH |
State: | MI |
Postal Code: | 486618820 |
Phone Number: | 9893457000 |
Fax Number: | 9893457479 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 09/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301065469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |