Individual
CELESTE THOMAS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-3887
(313) 916-8901
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-3887
(313) 916-8901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301078317
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301078317
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060H264410
BLUE CROSS-BLUE CROSS
—
05
—
472455510
—
MI
01
—
CG078317
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
10/26/2023
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