Individual
MICHAEL GREGORY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20411 W 12 MILE RD STE 102, SOUTHFIELD, MI 48076-6404
(248) 905-3194
(248) 905-3548
Mailing address
20411 W 12 MILE RD STE 102, SOUTHFIELD, MI 48076-6404
(248) 905-3194
(248) 905-3548
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MW049187
MI
208D00000X
General Practice Physician
Primary
4301049187
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108118302
BCBS IND
MI
05
—
1578561304
—
MI
01
—
P00943709
RAILROAD MEDICARE IND PIN
MI
Enumeration date
07/14/2005
Last updated
01/18/2026
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