Individual
MICHAEL ROY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
515 MAIN ST, OLEAN, NY 14760-1513
(616) 375-6083
Mailing address
515 MAIN ST, OLEAN, NY 14760-1513
(616) 375-6083
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0401-001H
—
NY
Enumeration date
11/08/2014
Last updated
11/08/2014
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