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MR. NOLAN RAY WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, BC

Contact information

Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 841-1328
(517) 841-1330
Mailing address
WA FOOTE MEMORIAL HOSPITAL INC PROFESSIONAL BILLING, PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-2728
(517) 841-1328
(517) 841-1330

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704207712
MI

Other

Enumeration date
08/28/2007
Last updated
09/27/2007
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