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Justin Williams
Military Health Care Provider in Southfield, Michigan
NPI 1871188078

Justin Williams is a Military Health Care Provider based in Phoenix, MI. Justin Williams practices in Southfield, MI. The NPI Number for Justin Williams is 1871188078 and holds a License No. (Michigan).

The current practice location address for Justin Williams is 17309 Redwood Ave, Southfield, MI and can be reached out via phone at 623-755-3841.

Location: 17309 Redwood Ave, Southfield, MI, 85040-3890
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871188078
Provider Name
Justin Williams
Credential
Provider Entity Type
Individual
Gender
Male
Address
17309 Redwood Ave, Southfield, MI, 85040-3890
Phone Number
623-755-3841
Fax Number
Provider Enumeration Date
03/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17309 Redwood Ave
City
Southfield
State
Michigan
Zip
48076-2866
Phone Number
623-755-3841
Fax Number
person
Provider Business Mailing Address Details
Address
17309 Redwood Ave
City
Southfield
State
Michigan
Zip
48076-2866
Phone Number
623-755-3841
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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