Provider Demographics
NPI:1730191750
Name:WILLIAMS, DONALD HERBERT (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:HERBERT
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 ABBOTT RD
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-3170
Mailing Address - Country:US
Mailing Address - Phone:517-351-4237
Mailing Address - Fax:517-351-2733
Practice Address - Street 1:921 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-3170
Practice Address - Country:US
Practice Address - Phone:517-351-4237
Practice Address - Fax:517-351-2733
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010469132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry