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NPI Code Detail

MEDICARE: DR. WILLIAM EDWARD NAILL M.D.

MEDICARE: DR. WILLIAM EDWARD NAILL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician43010049860MI
22085R0001XRadiation Oncology Physician4301049860MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972595734
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM EDWARD NAILL M.D.
Provider Business Mailing Address
First Line : 1221 SOUTH DR
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-3257
Country : US
Telephone Number : 989-772-6871
Fax Number : 989-772-6813
Provider Business Practice Location Address
First Line : 1221 SOUTH DR
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-3257
Country : US
Telephone Number : 989-772-6871
Fax Number : 989-772-6813
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 06/20/2014

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