Individual
DR. ROBERT T WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 TEAL RD, SUITE 8, LAFAYETTE, IN 47905-2463
(765) 477-2020
(765) 477-8200
Mailing address
1400 TEAL RD, SUITE 8, LAFAYETTE, IN 47905-2463
(765) 477-2020
(765) 477-8200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01024018A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231340A
—
IN
Enumeration date
02/14/2006
Last updated
03/28/2019
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