Individual
JOSEPH DANIEL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
200 JEFFERSON AVE SE # I, GRAND RAPIDS, MI 49503-4502
(616) 685-5907
(616) 279-3164
Mailing address
PO BOX 186, GRAND RAPIDS, MI 49501-0186
(616) 685-5907
(616) 279-3164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704341244
MI
363L00000X
Nurse Practitioner
AP08422
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
LA
Enumeration date
07/09/2015
Last updated
07/11/2024
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