Individual
DR. WILLIAM G NUTTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18100 OAKWOOD BLVD, SUITE 315, DEARBORN, MI 48124-4085
(313) 271-0066
(313) 271-1047
Mailing address
20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301043258
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E06273
BCBSM
MI
05
—
1659344687
—
MI
01
—
P00785912
RAILROAD MEDICARE
MI
Enumeration date
02/09/2006
Last updated
04/01/2016
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