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Individual

MARVIN WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
24758 SOUTHFIELD RD, SOUTHFIELD, MI 48075-2715
(248) 861-7092
Mailing address
16300 N PARK DR APT 701, SOUTHFIELD, MI 48075-4722
(248) 861-7092

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/25/2021
Last updated
10/25/2021
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