Organization
JEFFREY R WILLIAMSON DO PC
Active
Other names
Jeffrey R Williamson DO PC
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY JO UECKER (CREDENTIALING MANAGER)
(269) 420-9404
Entity
Organization
Contact information
Practice address
6785 MYERS LAKE AVE NE, ROCKFORD, MI 49341
(616) 884-5191
(616) 884-5192
Mailing address
PO BOX 260, 6785 MYERS LAKE AVE NE, ROCKFORD, MI 49341-7416
(616) 884-5191
(616) 884-5192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
JW011762
MI
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48109028
—
MI
Enumeration date
12/15/2006
Last updated
01/20/2020
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