Provider Demographics
NPI:1881638864
Name:WILLIAMS, LAURA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ANN
Last Name:WILLIAMS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR
Mailing Address - Street 2:PO BOX 0446 LOBBY J
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9484
Mailing Address - Country:US
Mailing Address - Phone:734-327-0872
Mailing Address - Fax:734-747-8605
Practice Address - Street 1:5333 MCAULEY DR
Practice Address - Street 2:6109
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1014
Practice Address - Country:US
Practice Address - Phone:734-712-1300
Practice Address - Fax:734-712-1330
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2012-10-25
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Provider Licenses
StateLicense IDTaxonomies
MI4301061820207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIF49082Medicare UPIN