| Ronald F. Williamson M.d., P.c. | |
|
18348 Mack Ave Grosse Pointe Farms MI 48236-3219 | |
| (313) 862-3104 | |
| (313) 862-1290 |
| Full Name | Ronald F. Williamson M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 18348 Mack Ave, Grosse Pointe Farms, Michigan |
| Authorized Official Name and Position | Ronald Williamson (OWNER FAMILY PHYSICIAN) |
| Authorized Official Contact | 3138623104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald F. Williamson M.d., P.c. 17130 Schaefer Hwy Detroit MI 48235-4131 Ph: (313) 862-3104 | Ronald F. Williamson M.d., P.c. 18348 Mack Ave Grosse Pointe Farms MI 48236-3219 Ph: (313) 862-3104 |
| NPI Number | 1699893453 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0648294850 |
|---|---|
| Medicare Enrollment ID | O20060113000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699893453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ronald Frederick Williamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659482826 PECOS PAC ID: 5991729105 Enrollment ID: I20060201000507 |
| Provider Name | Marcy Binford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629479498 PECOS PAC ID: 9638399876 Enrollment ID: I20141009002235 |
| Provider Name | Rochelle Lenetta Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184083974 PECOS PAC ID: 9638459761 Enrollment ID: I20161207002326 |
| Provider Name | Melanie Odeleye |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1184988255 PECOS PAC ID: 0244474633 Enrollment ID: I20231002002678 |
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