Individual
MR. MICHAEL DWAYNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
1481 W 10TH ST, RLR VAMC, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
(317) 998-2422
Mailing address
1481 W 10TH ST, RLR VAMC, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
(317) 998-2422
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0
IN
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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