Individual
DR. WILLIAM A. ATHENS JR.
Active
Individual
DR. WILLIAM A. ATHENS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
WA011454
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538198700
GROUP NPI
MI
01
—
1568433191
IND NPI
MI
01
—
200H234470
BCBS GROUP PIN
MI
01
—
2058214234
BCBS
MI
05
—
4891150
—
MI
Enumeration date
01/31/2006
Last updated
12/18/2009
Update your record
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