| Dr Mark P Williams Pc | |
|
4067 E Court St # 10-11 Burton MI 48509-2509 | |
| (810) 715-2020 | |
| Not Available |
| Full Name | Dr Mark P Williams Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4067 E Court St # 10-11, Burton, Michigan |
| Authorized Official Name and Position | Mark P Williams (OWNER/DOCTOR) |
| Authorized Official Contact | 8107152020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark P Williams Pc 4067 E Court St # 10-11 Burton MI 48509-2509 Ph: (810) 715-2020 | Dr Mark P Williams Pc 4067 E Court St # 10-11 Burton MI 48509-2509 Ph: (810) 715-2020 |
| NPI Number | 1184880668 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 08/26/2014 |
| Medicare PECOS PAC ID | 6103993852 |
|---|---|
| Medicare Enrollment ID | O20101004001332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184880668 | NPI | - | NPPES |
| 202115 | Other | MI | MCLAREN HEALTH PLAN |
| 5104868 | Medicaid | MI | |
| OB56586 | Other | MI | BLUE CROSS/BLUE SHIELD OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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