Provider Demographics
NPI:1043770613
Name:MCWILLIAMS, THOMAS (TS (ABB), MB (ASCP))
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:
Last Name:MCWILLIAMS
Suffix:
Gender:M
Credentials:TS (ABB), MB (ASCP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 DALEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9684
Mailing Address - Country:US
Mailing Address - Phone:267-972-9252
Mailing Address - Fax:
Practice Address - Street 1:2930 DALEVIEW DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9684
Practice Address - Country:US
Practice Address - Phone:267-972-9252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist
No291U00000XLaboratoriesClinical Medical Laboratory