Williams, Michael Gregory
Williams, Michael Gregory is an sole proprietor health care provider with primary practice located at 20411 W 12 Mile Rd Ste 102 , Southfield MI 48076-6404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Williams, Michael Gregory can be contacted via phone (248) 905-3194.Contact Information
Primary practice address
20411 W 12 Mile Rd Ste 102
Southfield MI 48076-6404
Phone: (248) 905-3194
Fax: (248) 905-3548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MW049187 | Michigan |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 4301049187 | Michigan |
Profile Details
| NPI number | 1578561304 |
|---|---|
| LBN Legal business name | Williams, Michael Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Jan 18th, 2026 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578561304 | NPPES |
| Michigan | Other | P00943709 | RAILROAD MEDICARE IND PIN |
| Michigan | MEDICAID | 1578561304 | RAILROAD MEDICARE IND PIN |
| Michigan | Other | 0108118302 | RAILROAD MEDICARE IND PIN |
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