Williams, Michael Gregory

Williams, Michael Gregory is an individual health care provider with primary practice located at 14650 W Warren Ave Ste 300 , Dearborn MI 48126-1782. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Williams, Michael Gregory can be contacted via phone (313) 551-3941.

Contact Information

Primary practice address
14650 W Warren Ave Ste 300 Dearborn MI 48126-1782
Fax: (313) 633-9616
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MW049187 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301049187 Michigan

Profile Details

NPI number 1578561304
LBN Legal business name Williams, Michael Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Aug 28th, 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 1578561304 NPPES
Michigan MEDICAID 1578561304
Michigan Other P00943709
Michigan Other 0108118302

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