Healthcare Provider Details

I. General information

NPI: 1144138835
Provider Name (Legal Business Name): CHRISTOPHER D WILLIAMS JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2014 CASTLE LN
FLINT MI
48504-2063
US

IV. Provider business mailing address

2014 CASTLE LN
FLINT MI
48504-2063
US

V. Phone/Fax

Practice location:
  • Phone: 773-690-9119
  • Fax:
Mailing address:
  • Phone: 773-690-9119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: