Individual
WILLIAM MARC KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2093 HEALTH DR SW, STE 200, WYOMING, MI 49519
(616) 459-3158
(616) 819-2222
Mailing address
1900 WEALTHY ST SE, STE 150, GRAND RAPIDS, MI 49506-2969
(616) 459-3158
(616) 459-4714
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301044867
MI
207RP1001X
Pulmonary Disease Physician
4301044867
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
4301044867
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104106031
BCBS OF MICHIGAN
MI
05
—
1896734
—
MI
01
—
38-2145264
IRS TAX ID# THRU CORP
—
Enumeration date
08/24/2006
Last updated
06/22/2010
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