Individual
WALTER DOUGLAS WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064
(847) 688-1900
Mailing address
15312 50TH RD, FRANKSVILLE, WI 53126-9660
(619) 955-9523
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
129682
WI
163W00000X
Registered Nurse
669610
CA
367500000X
Certified Registered Nurse Anesthetist
4418
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
8093-33
WI
Other
Enumeration date
02/04/2007
Last updated
09/04/2018
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