Individual
MARY KAY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1221 SIXTH ST STE 306, TRAVERSE CITY, MI 49684-2361
(231) 935-2400
(231) 392-2424
Mailing address
701 W FRONT ST, STE 200, TRAVERSE CITY, MI 49684-2236
(231) 346-4023
(231) 932-7311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704123296
MI
Other
Enumeration date
07/19/2006
Last updated
12/31/2020
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