Provider Demographics
NPI:1821076456
Name:WILLIAMS, MICHAEL J (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1701 SOUTH BLVD E
Mailing Address - Street 2:STE 250
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307
Mailing Address - Country:US
Mailing Address - Phone:248-293-1002
Mailing Address - Fax:248-293-1272
Practice Address - Street 1:1701 SOUTH BLVD E
Practice Address - Street 2:STE 250
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307
Practice Address - Country:US
Practice Address - Phone:248-293-1002
Practice Address - Fax:248-293-1272
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2017-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301065754207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI110F374450OtherBCBS
MIP89643OtherBCN
MI3522770Medicaid
F83380Medicare UPIN
MIP89643OtherBCN