Individual
MICHAEL WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9411 N OAK TRFY, STE 240, KANSAS CITY, MO 64155-2233
(816) 468-8632
Mailing address
PO BOX 504538, SAINT LOUIS, MO 63150-4538
(816) 932-7940
(816) 932-7957
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2011024871
MO
207X00000X
Orthopaedic Surgery Physician
MT186890
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT186890
LICENSE
PA
Enumeration date
03/26/2007
Last updated
03/29/2012
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