Healthcare Provider Details

I. General information

NPI: 1598964926
Provider Name (Legal Business Name): FINNER-WILLIAMS & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 04/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17620 W MCNICHOLS RD
DETROIT MI
48235-3327
US

IV. Provider business mailing address

17620 W MCNICHOLS RD
DETROIT MI
48235-3327
US

V. Phone/Fax

Practice location:
  • Phone: 313-537-1000
  • Fax: 313-537-0363
Mailing address:
  • Phone: 313-537-1000
  • Fax: 313-537-0363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number6301005088
License Number StateMI

VIII. Authorized Official

Name: MRS. PARIS M FINNER-WILLIAMS
Title or Position: CEO, OWNER
Credential: PHD
Phone: 313-537-1000