Individual
DR. MALCOLM EDWARD WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8432 THORNTREE DRIVE, GROSSE ILE, MI 48138
(734) 675-3319
(734) 692-5061
Mailing address
8432 THORNTREE DRIVE, GROSSE ILE, MI 48138
(734) 675-3319
(734) 692-5061
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
5101005793
MI
207U00000X
Nuclear Medicine Physician
5101005793
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1296713
—
MI
01
—
5823063
BCBS
MI
Enumeration date
12/26/2006
Last updated
12/31/2007
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