Healthcare Provider Details

I. General information

NPI: 1467517573
Provider Name (Legal Business Name): DONALD H WILLIAMS MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 11/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 W GRAND RIVER AVE
EAST LANSING MI
48823-4201
US

IV. Provider business mailing address

425 W GRAND RIVER AVE
EAST LANSING MI
48823-4201
US

V. Phone/Fax

Practice location:
  • Phone: 517-332-8900
  • Fax: 517-351-2733
Mailing address:
  • Phone: 517-332-8900
  • Fax: 517-351-2733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberDW046913
License Number StateMI

VIII. Authorized Official

Name: DR. DONALD H WILLIAMS
Title or Position: PSYCHIATRIST
Credential: M.D.
Phone: 517-332-8900