| Shelly L Williams, Do Pllc | |
|
318 Center St Muskegon MI 49445-3113 | |
| (231) 719-0798 | |
| (231) 744-8570 |
| Full Name | Shelly L Williams, Do Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 318 Center St, Muskegon, Michigan |
| Authorized Official Name and Position | Shelly L Williams (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2317190798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly L Williams, Do Pllc 318 Center St Muskegon MI 49445-3113 Ph: (231) 719-0798 | Shelly L Williams, Do Pllc 318 Center St Muskegon MI 49445-3113 Ph: (231) 719-0798 |
| NPI Number | 1154577419 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 02/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154577419 | NPI | - | NPPES |
| P01260001 | Other | MEDICARE INDIVIDUAL NUMBER | |
| 4736780 | Medicaid | MI | |
| 1205859956 | Other | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 5101009366 (Michigan) | Primary |
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