Individual
MADELEINE MABEL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30600 TELEGRAPH RD STE 4000, BINGHAM FARMS, MI 48025-5726
(248) 752-0347
Mailing address
9949 CARDWELL ST, LIVONIA, MI 48150-3217
(248) 924-5949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704343406
MI
163WP0200X
Pediatric Registered Nurse
4704343406
MI
363L00000X
Nurse Practitioner
4704343406
MI
Other
Enumeration date
02/05/2021
Last updated
11/19/2021
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