MEDICARE: WILLIAM F ROLLINS DO

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	5101010294	MI

Other Identifiers

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

General Provider Information

NPI Number	:	1629048152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM F ROLLINS DO

Provider Business Mailing Address
First Line	:	8532 N CANTON CENTER RD
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-1310
Country	:	US
Telephone Number	:	734-453-2151
Fax Number	:	734-453-9005

Provider Business Practice Location Address
First Line	:	8532 N CANTON CENTER RD
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-1310
Country	:	US
Telephone Number	:	734-453-2151
Fax Number	:	734-453-9005

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

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	03/24/2020

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