Individual
MARLON WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2626 N 76TH ST, WAUWATOSA, WI 53213-1137
(414) 774-7794
Mailing address
4117 W HAWTHORNE TRACE RD, APT 207, BROWN DEER, WI 53209-1055
(414) 687-2650
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1749-19
WI
Other
Enumeration date
02/05/2017
Last updated
02/05/2017
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