Provider Demographics
NPI:1871577783
Name:WILLIAMS, MICHAEL B (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:B
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1300 PICCARD DR
Mailing Address - Street 2:STE 202
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4303
Mailing Address - Country:US
Mailing Address - Phone:301-921-7900
Mailing Address - Fax:301-921-7915
Practice Address - Street 1:18101 PRINCE PHILIP DR
Practice Address - Street 2:MONTGOMERY GENERAL HOSPITAL
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1514
Practice Address - Country:US
Practice Address - Phone:301-774-8900
Practice Address - Fax:301-570-8574
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2022-02-04
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Provider Licenses
StateLicense IDTaxonomies
MDH0061316207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD405143200Medicaid
I19845Medicare UPIN