Individual
DR. MICHAEL L WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
ULTRA WELLNESS MEDICAL, LLC, 3026 WINGHAVEN BLVD., O'FALLON, MO 63368
(636) 333-9820
(636) 228-0039
Mailing address
3026 WINGHAVEN BLVD., O'FALLON, MO 63368
(636) 333-9820
(636) 228-0039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005036219
IL
207Q00000X
Family Medicine Physician
20A18065
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200202505
—
MO
Enumeration date
04/03/2006
Last updated
09/23/2022
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