Healthcare Provider Details

I. General information

NPI: 1154815249
Provider Name (Legal Business Name): AUSTIN DAVID WILLIAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2018
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 HUGHES DR # 310
TOLEDO OH
43606-3857
US

IV. Provider business mailing address

2121 HUGHES DR # 310
TOLEDO OH
43606-3857
US

V. Phone/Fax

Practice location:
  • Phone: 419-291-3858
  • Fax: 419-480-8701
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number35.148312
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: