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Individual

DANIEL WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01199
NC
208600000X
Surgery Physician
Primary
82577-20
WI
2086S0105X
Surgery of the Hand (Surgery) Physician
11957
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100251262
WI
Enumeration date
08/29/2008
Last updated
01/18/2024
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