Provider Demographics
NPI:1598849796
Name:WILLIAMS, RACHEL MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MARIE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:209 S MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-1809
Mailing Address - Country:US
Mailing Address - Phone:616-840-1167
Mailing Address - Fax:855-936-8876
Practice Address - Street 1:209 S MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-1809
Practice Address - Country:US
Practice Address - Phone:616-840-1167
Practice Address - Fax:855-936-8876
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301086484207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1467960369Medicaid