Individual
BRIAN P WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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