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General NPI Number Information
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NPI Number | 1508809252
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Entity Type | Individual
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Provider Name | DANIEL E WILLIAMS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 1250 IDAHO ST
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City | LEWISTON
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State | ID
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Zip | 83501-1965
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Country | US
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Telephone | 208-743-7427
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Fax |
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Provider Business Mailing Address
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Address Line | 1540 LAKE LANSING RD STE 103
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City | LANSING
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State | MI
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Zip | 48912-3756
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Country | US
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Telephone | 517-913-3890
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Fax | 517-913-3891
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 4301030881
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MC-0528
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 01090600A
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License Number State | IN
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