Individual
ELIZABETH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9555 UPLAND LN N, MAPLE GROVE, MN 55369-4485
(952) 993-1440
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
73965
WI
208000000X
Pediatrics Physician
73965
WI
208000000X
Pediatrics Physician
Primary
76320
MN
208M00000X
Hospitalist Physician
73965
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346700077
—
WI
Enumeration date
03/20/2019
Last updated
05/05/2025
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