| Dr Russell G Williams, DO | |
|
395 3rd St, Manistee, MI 49660-1718 | |
| (877) 398-2013 | |
| Not Available |
| Full Name | Dr Russell G Williams |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 395 3rd St, Manistee, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548318793 | NPI | - | NPPES |
| E16001022 | Other | MI | MEDICARE PTAN |
| 0E16001 | Other | MI | MEDICARE GROUP PTAN |
| 4782586 | Medicaid | MI | |
| RW016594 | Other | MI | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5101016594 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell G Williams, DO 310 Glocheski Dr, Manistee, MI 49660-2639 Ph: (877) 398-2013 | Dr Russell G Williams, DO 395 3rd St, Manistee, MI 49660-1718 Ph: (877) 398-2013 |
Thomas Zatolokin, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 310 Glocheski Dr, Manistee, MI 49660 Phone: 231-723-6516 Fax: 231-882-2195 |