Individual provider · Type 1 NPI
Justin Williams
Military Health Care Provider · Southfield, MI
NPI number
1871188078
Active
Practice location
17309 Redwood Ave
Southfield, MI 48076-2866
Mailing address
3400 E Southern Ave Apt 162
Phoenix, AZ 85040-3890
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
About NPI 1871188078
Justin Williams's National Provider Identifier is 1871188078, issued on Mar 9, 2021. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Southfield, MI. The record was last updated on Mar 9, 2021.