Individual
DEWAYNE R WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1050 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-7778
(740) 383-7942
Mailing address
1050 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-7778
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA08622
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2638391
—
OH
Enumeration date
06/12/2006
Last updated
10/07/2014
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