Individual
DR. MICHAEL GLENN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
Mailing address
1805 MOCKINGBIRD LN, MCALESTER, OK 74501-7312
(918) 423-4211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
873
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1500873
—
OK
Enumeration date
02/13/2006
Last updated
07/08/2007
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