Individual
DAVID P WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
410 E CENTRE AVE, PORTAGE, MI 49002-5541
(269) 327-4454
(269) 327-8717
Mailing address
410 E CENTRE AVE, PORTAGE, MI 49002-5541
(269) 327-4454
(269) 327-8717
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003282
MI
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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