Individual
DR. WILLIAM T. CORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1919 LAKE AVE STE 106, PLYMOUTH, IN 46563-7830
(574) 335-5220
(574) 335-0859
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-8707
(574) 335-0074
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101014163DO
MI
207Q00000X
Family Medicine Physician
Primary
02007492A
IN
207Q00000X
Family Medicine Physician
5101014163
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080D410020
BDBSM COM BLUE
MI
01
—
1022813
MHP HAN INDIVIDUAL
MI
01
—
1022851
MHP HAN GROUP
MI
05
—
300082849
—
IN
05
—
4849166
—
MI
05
—
4849184
—
MI
05
—
4849193
—
MI
05
—
4963714
—
MI
Enumeration date
05/10/2006
Last updated
01/13/2026
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