Williams, Anthony Dwayne

Williams, Anthony Dwayne is an sole proprietor health care provider with primary practice located at 23077 Greenfield Rd Ste 231, Southfield MI 48075-3709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Williams, Anthony Dwayne can be contacted via phone (248) 569-2160.

Contact Information

Primary practice address
23077 Greenfield Rd Ste 231 Southfield MI 48075-3709
Fax: (248) 569-5756
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301062274 Michigan

Profile Details

NPI number 1245246354
LBN Legal business name Williams, Anthony Dwayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Oct 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245246354 NPPES
Michigan Other 0N16240 MEDICARE PTAN
Michigan MEDICAID 4221369 MEDICARE PTAN

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