Individual
MR. DONTA LAMAR WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6960 N RAINTREE DR, MILWAUKEE, WI 53223-5272
(414) 719-6057
Mailing address
6960 N RAINTREE DR, MILWAUKEE, WI 53223-5272
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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