Individual
MICHAEL J WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 REID PKWY, REID HOSPITAL & HEALTH CARE SERVICES, RICHMOND, IN 47374-1157
(765) 935-8773
(765) 935-8774
Mailing address
1100 REID PKWY, REID HOSPITAL & HEALTH CARE SERVICES, RICHMOND, IN 47374-1157
(765) 935-8773
(765) 935-8774
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
02002568A
IN
207RX0202X
Medical Oncology Physician
02002568A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200469280
—
IN
01
—
P00411731
MEDICARE B-RAILROAD
IN
01
—
P01014252
RR MEDICARE
IN
Enumeration date
02/06/2007
Last updated
05/19/2021
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