Individual
DR. MICHAEL NEAL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4902 E 21ST ST N, WICHITA, KS 67208-1601
(316) 684-1470
Mailing address
4902 E 21ST ST N, WICHITA, KS 67208-1601
(316) 684-1470
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
480920066
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100221620A
—
KS
Enumeration date
06/23/2006
Last updated
07/08/2007
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