Individual
DR. JEFFREY R WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6785 MYERS LAKE AVE NE, ROCKFORD, MI 49341
(616) 884-5191
(616) 884-5192
Mailing address
PO BOX 260, ROCKFORD, MI 49341
(616) 884-5191
(616) 884-5192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
JW011762
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48103028
—
MI
Enumeration date
05/30/2006
Last updated
01/27/2020
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