Individual
MARY M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(317) 567-2180
(317) 567-2191
Mailing address
PO BOX 6069, DEPT 87, INDIANAPOLIS, IN 46206-6069
(317) 567-2179
(317) 567-2191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01029030
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072610
—
IN
Enumeration date
03/16/2006
Last updated
08/27/2009
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