Michael L Williams, D.O. Valid NPI
Individual provider · Family Medicine Physician · O'Fallon, MO
- NPI
- 1851353247
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 2005036219 (IL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-04-03
- Last updated
- 2022-09-23
Practice location
Ultra Wellness Medical, Llc, 3026 Winghaven Blvd.
O'Fallon, MO 63368
(636) 333-9820