Organization
SHELLY L WILLIAMS, DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY L WILLIAMS DO (PHYSICIAN/OWNER)
(231) 719-0798
Entity
Organization
Contact information
Practice address
318 CENTER ST, MUSKEGON, MI 49445-3113
(231) 719-0798
(231) 744-8570
Mailing address
318 CENTER ST, MUSKEGON, MI 49445-3113
(231) 719-0798
(231) 744-8570
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
5101009366
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205859956
INDIVIDUAL NPI NUMBER
—
05
—
4736780
—
MI
01
—
P01260001
MEDICARE INDIVIDUAL NUMBER
—
Enumeration date
08/18/2008
Last updated
02/08/2011
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