Williamson, Malcolm Edward

Williamson, Malcolm Edward is an individual health care provider with primary practice located at 8432 Thorntree Drive , Grosse Ile MI 48138. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Williamson, Malcolm Edward can be contacted via phone (734) 675-3319.

Contact Information

Primary practice address
8432 Thorntree Drive Grosse Ile MI 48138
Phone: (734) 675-3319
Fax: (734) 692-5061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 5101005793 Michigan
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 5101005793 Michigan

Profile Details

NPI number 1750446217
LBN Legal business name Williamson, Malcolm Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Dec 31st, 2007 - about 19 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750446217 NPPES
Michigan MEDICAID 1296713
Michigan Other 5823063

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