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 |