Provider Demographics
NPI:1437398765
Name:DELFORD G WILLIAMS PC
Entity type:Organization
Organization Name:DELFORD G WILLIAMS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:F
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-273-7580
Mailing Address - Street 1:15121 WEST MCNICHOLS ROAD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-3716
Mailing Address - Country:US
Mailing Address - Phone:313-273-7580
Mailing Address - Fax:313-273-0950
Practice Address - Street 1:15121 WEST MCNICHOLS ROAD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3716
Practice Address - Country:US
Practice Address - Phone:313-273-7580
Practice Address - Fax:313-273-0950
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DELFORD G WILLIAMS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-10
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty