Individual
DAN E. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA, PSYD
Contact information
Practice address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
(608) 756-4700
Mailing address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
(608) 756-4700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3873-23
WI
363AM0700X
Medical Physician Assistant
8500535
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801874664
BCBSWI
WI
05
—
1801874664
—
WI
01
—
WILLIDAN
MERCYCARE INSURANCE
WI
Enumeration date
01/03/2006
Last updated
10/26/2016
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