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Individual

BRIAN D WILLIAMSON

Active
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Individual

BRIAN D WILLIAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
4301407031
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060069744
MEDICARE RAILROAD
MI
01
—
0606344581
BLUE CROSS BLUE SHIELD OF MI
MI
05
—
4445236
—
MI
Enumeration date
11/16/2005
Last updated
10/20/2020
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