Healthcare Provider Details

I. General information

NPI: 1538305909
Provider Name (Legal Business Name): BARBARA ANN MENZIES-WILLIAMS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA ANN MENZIES MD

II. Dates (important events)

Enumeration Date: 01/06/2009
Last Update Date: 07/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 W WARREN AVE
DETROIT MI
48210
US

IV. Provider business mailing address

6530 FARMINGTON RD
WEST BLOOMFIELD MI
48322-3216
US

V. Phone/Fax

Practice location:
  • Phone: 313-897-7700
  • Fax: 313-897-5591
Mailing address:
  • Phone: 248-661-8240
  • Fax: 248-661-8240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301041374
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: