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Dr. Walter Keandre Desean Williams IV, OD
Student in an Organized Health Care Education/Training Program in Toledo, Ohio
NPI 1720838873

Walter Keandre Desean Williams IV is a Student in an Organized Health Care Education/Training Program based in Toledo, OH. Walter Keandre Desean Williams IV practices in Toledo, OH and has the professional credentials of OD. The NPI Number for Walter Keandre Desean Williams IV is 1720838873 and holds a License No. (Ohio).

The current practice location address for Walter Keandre Desean Williams IV is 3734 Lauderdale Dr, Toledo, OH and can be reached out via phone at 419-944-0565. You can also correspond with Walter Keandre Desean Williams IV through the mailing address at 3734 LAUDERDALE DR, TOLEDO, OH - 43615-1154 (mailing address contact number: 419-944-0565).

Location: 3734 Lauderdale Dr, Toledo, OH, 43615-1154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720838873
Provider Name
Walter Keandre Desean Williams IV
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
3734 Lauderdale Dr, Toledo, OH, 43615-1154
Phone Number
419-944-0565
Fax Number
Provider Enumeration Date
03/22/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3734 Lauderdale Dr
City
Toledo
State
Ohio
Zip
43615-1154
Phone Number
419-944-0565
Fax Number
person
Provider Business Mailing Address Details
Address
3734 Lauderdale Dr
City
Toledo
State
Ohio
Zip
43615-1154
Phone Number
419-944-0565
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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