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Individual

CORRIE LYNN WILLIAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
30701 WOODWARD AVE, ROYAL OAK, MI 48073-0987
(248) 554-2222
Mailing address
925 TECUMSEH AVE, WATERFORD, MI 48327-3139

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704307059
MI

Other

Enumeration date
09/02/2020
Last updated
09/02/2020
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