Individual
MR. WILLIAM RUSSELL MATHIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15600 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3502
(586) 263-8700
Mailing address
263 1/2 CROCKER BLVD FL 2, MOUNT CLEMENS, MI 48043-2507
(586) 850-9604
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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