Individual
DR. WILLIAM M NORTHWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
12776 S WEST BAY SHORE DR, TRAVERSE CITY, MI 49684-5451
(231) 946-0070
(231) 946-6026
Mailing address
12776 S WEST BAY SHORE DR, TRAVERSE CITY, MI 49684-5451
(231) 946-0070
(231) 946-6026
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4852715
—
MI
Enumeration date
10/06/2006
Last updated
10/15/2007
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