Provider Demographics
NPI:1841489226
Name:WILLIAMS FAMILY MEDICINE P.C.
Entity type:Organization
Organization Name:WILLIAMS FAMILY MEDICINE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:734-458-1455
Mailing Address - Street 1:29140 BUCKINGHAM AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-4482
Mailing Address - Country:US
Mailing Address - Phone:734-458-1455
Mailing Address - Fax:734-458-1623
Practice Address - Street 1:29140 BUCKINGHAM AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-4482
Practice Address - Country:US
Practice Address - Phone:734-458-1455
Practice Address - Fax:734-458-1623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty