Individual
TERRY S WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1061 E COMMERCE BLVD, SLINGER, WI 53086
(262) 644-2900
(262) 670-7112
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37460
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32203900
—
WI
01
—
P00934577
RR MEDICARE
WI
Enumeration date
08/24/2006
Last updated
07/25/2011
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