Individual
DR. TROY ROBERT KEONI WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301086207
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0951909
BCBS PIN
MI
01
—
0E06376
MEDICARE GROUP NUMBER
MI
01
—
1184828451
FACILITY NPI
MI
05
—
1821209495
—
MI
01
—
700E063760
BCBS OF MICHIGAN GROUP NUMBER
MI
Enumeration date
05/25/2007
Last updated
11/08/2013
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