Individual
MARY L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15000 GRATIOT AVE, DETROIT, MI 48205-1973
(313) 245-0692
Mailing address
15563 KNOLLWOOD DR., DEARBORN, MI 48120
(313) 702-2572
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704196827
MI
163WC1500X
Community Health Registered Nurse
4704196827
MI
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
4704196827
MI
Other
Enumeration date
01/08/2007
Last updated
09/11/2025
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