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Individual

MARK WARNHOLZ WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
211 NW LARCH AVE, REDMOND, OR 97756-1357
(541) 548-2164
(541) 548-0534
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 548-2164
(541) 548-0534

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6536
AK
207Q00000X
Family Medicine Physician
Primary
MD174000
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD8531
AK
Enumeration date
07/02/2012
Last updated
04/23/2020
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