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Individual

DR. GAIL DIANE SOOHOO-WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
43555 DALCOMA DR, STE 4, CLINTON TOWNSHIP, MI 48038-6310
(586) 228-2882
(586) 463-7152
Mailing address
43555 DALCOMA DR, STE 4, CLINTON TOWNSHIP, MI 48038-6310
(586) 228-2882
(586) 463-7152

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301407207
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E06114004
RAILROAD MEDICARE
01
119983
CARE CHOICES-PREFERRED
MI
05
1792650
MI
01
2505009741
BCN
MI
01
C6825
M-CARE
MI
01
GS407207
BCBSM
MI
Enumeration date
09/19/2005
Last updated
01/19/2017
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