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Individual

MR. MARK RICHARD WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
605 S STATE ST, DAVISON, MI 48423
(810) 653-9060
(810) 658-2248
Mailing address
PO BOX 480, DAVISON, MI 48423
(810) 653-9060
(810) 658-2248

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MW001983
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4632598
MI
Enumeration date
09/07/2006
Last updated
06/28/2013
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