Individual
JASON WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N/A
Contact information
Practice address
20303 KELLY RD, DETROIT, MI 48225-1206
(313) 245-7000
Mailing address
2900 CONNER ST, DETROIT, MI 48215-2407
(313) 308-1400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
03/30/2021
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