Provider Demographics
NPI:1891880613
Name:BELL, WILLIAM HENRY III (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:HENRY
Last Name:BELL
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1293 E PARKDALE AVE
Mailing Address - Street 2:STE L100
Mailing Address - City:MANISTEE
Mailing Address - State:MI
Mailing Address - Zip Code:49660-8904
Mailing Address - Country:US
Mailing Address - Phone:231-398-1957
Mailing Address - Fax:
Practice Address - Street 1:905 NORTH MACOMB STREET SUITE 4
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162
Practice Address - Country:US
Practice Address - Phone:734-242-7212
Practice Address - Fax:734-242-7237
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101013196208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI03967OtherPARAMOUNT HEALTH CARE
MI0255800335OtherBCBS
MI7881252OtherAETNA
MI4305093Medicaid
MI6891657-001OtherCIGNA
MIG74400Medicare UPIN
MI0255800335OtherBCBS