Healthcare Provider Details

I. General information

NPI: 1225417660
Provider Name (Legal Business Name): WILLIAM EDWARD HARDER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6889 HIGHLAND RD
WATERFORD MI
48327-1658
US

IV. Provider business mailing address

6889 HIGHLAND RD
WATERFORD MI
48327-1658
US

V. Phone/Fax

Practice location:
  • Phone: 248-666-5200
  • Fax: 248-666-5069
Mailing address:
  • Phone: 248-666-5200
  • Fax: 248-666-5069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number5101021792
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5101021792
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: