Individual
DR. WILLIAM A. ATHENS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
25755 TELEGRAPH RD, BROWNSTOWN, MI 48134-1013
(734) 782-7003
(734) 782-7005
Mailing address
25755 TELEGRAPH RD, BROWNSTOWN, MI 48134-1013
(734) 782-7003
(734) 782-7005
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
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