MEDICARE: MR. WILLIAM JAY BINDER M.D.

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
1	207Q00000X	Family Medicine Physician	4301077015	MI

General Provider Information

NPI Number	:	1427000819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM JAY BINDER M.D.

Provider Business Mailing Address
First Line	:	200 ARNET ST
Second Line	:	SUITE 170
City	:	YPSILANTI
State	:	MI
Zip	:	48198-5753
Country	:	US
Telephone Number	:	734-484-5942
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 ARNET ST
Second Line	:	SUITE 170
City	:	YPSILANTI
State	:	MI
Zip	:	48198-5753
Country	:	US
Telephone Number	:	734-484-5942
Fax Number	:	734-484-5495

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	06/09/2010

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