Individual
BRIAN P WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 E MAIN ST, MANKATO CLINIC @ MAIN STREET, MANKATO, MN 56002-8674
(507) 625-1811
Mailing address
PO BOX 8674, MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46643
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0593087
—
IA
01
—
1202900
MEDICA
MN
01
—
1203326
MEDICA
MN
01
—
131477
UCARE
MN
01
—
2361648
AMERICAS PPO
MN
01
—
410849339 56001 C211
CHAMPUS
—
01
—
513R8WI
BCBS
MN
05
—
874620600
—
MN
01
—
HP42383
HEALTH PARTNERS
MN
01
—
NA2951041222
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
07/15/2020
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