Individual
BEN MICHAEL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41810 N VENTURE DR UNIT D136, ANTHEM, AZ 85086-3174
(304) 838-3084
Mailing address
40 CELEBRATION DR, ROCHESTER, NY 14620-2664
(304) 838-3084
(585) 276-2430
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
71569
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
71569
AZ
207R00000X
Internal Medicine Physician
STUDENT
KY
Other
Enumeration date
03/25/2020
Last updated
04/17/2024
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