Individual
SEANN ELISE WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4466 W BRISTOL RD, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-0688
Mailing address
4466 W BRISTOL RD, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-0688
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301091485
MI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
4301091485
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0251416
BCBSM
MI
01
—
0N45090
MEDICARE GROUP PTAN
MI
05
—
1033236823
—
MI
Enumeration date
03/25/2007
Last updated
01/11/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us