Individual
DAN E. WILLIAMS
Active
Individual
DAN E. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA, PSYD
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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