Healthcare Provider Details

I. General information

NPI: 1811995582
Provider Name (Legal Business Name): JAMES WILLIAM HILL DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19723 ALLEN RD
BROWNSTOWN TWP MI
48183-1021
US

IV. Provider business mailing address

19723 ALLEN RD
BROWNSTOWN TWP MI
48183-1021
US

V. Phone/Fax

Practice location:
  • Phone: 734-479-8383
  • Fax: 734-479-8382
Mailing address:
  • Phone: 734-479-8383
  • Fax: 734-479-8382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number5901001896
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: