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NPI Code Detail

MEDICARE: WILLIAMS ORTHOTIC SERVICES, INC.

MEDICARE: WILLIAMS ORTHOTIC SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306847363
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAMS ORTHOTIC SERVICES, INC.
Provider Business Mailing Address
First Line : 4466 W BRISTOL RD
Second Line :
City : FLINT
State : MI
Zip : 48507-3170
Country : US
Telephone Number : 810-230-9400
Fax Number : 810-230-9411
Provider Business Practice Location Address
First Line : 4466 W BRISTOL RD
Second Line :
City : FLINT
State : MI
Zip : 48507-3170
Country : US
Telephone Number : 810-230-9400
Fax Number : 810-230-9411
Authorized Official
Title or Position : PRESIDENT
Name : MARY WILLIAMS
Credential :
Telephone Number : 810-230-9400
Provider Enumeration Date : 08/02/2005
Last Update Date : 07/21/2011

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Directions to “WILLIAMS ORTHOTIC SERVICES, INC. ” Practice Location

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