Individual
MR. BLAINE R WILLIAMS
Active
Individual
MR. BLAINE R WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704101145
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4308752210
BCBS IND PIN
MI
01
—
430C910670
BCBS GRP PIN
MI
01
—
5453510
AETNA PIN
—
Enumeration date
06/15/2006
Last updated
04/09/2013
Update your record
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