Tina Michelle Williams, PA-C - Dermatology in Fort Gratiot, MI

Tina Michelle Williams, PA-C is a Dermatology physician based in Fort Gratiot, Michigan. Tina Michelle Williams is licensed to practice in Michigan (license number 5601003406) and her current practice location is 2950 Keewahdin Rd, Fort Gratiot, Michigan. She can be reached at her office (for appointments etc.) via phone at (810) 455-1600.

NPI number for Tina Michelle Williams is 1588671978 and her current mailing address is 43151 Dalcoma Dr Ste 4, Clinton Twp, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588671978.

Contact Information

Tina Michelle Williams, PA-C
2950 Keewahdin Rd,
Fort Gratiot, MI 48059-3526
(810) 455-1600
(810) 455-1620



Physician's Profile

Full NameTina Michelle Williams
GenderFemale
SpecialityDermatology
Location2950 Keewahdin Rd, Fort Gratiot, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1588671978
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 04/30/2019

Medical Identifiers

Medical identifiers for Tina Michelle Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588671978NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 5601003406 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tina Michelle Williams is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tina Michelle Williams, PA-C
43151 Dalcoma Dr Ste 4,
Clinton Twp, MI 48038-6306

Ph: (586) 286-8720
Tina Michelle Williams, PA-C
2950 Keewahdin Rd,
Fort Gratiot, MI 48059-3526

Ph: (810) 455-1600

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› Verified 3 days ago


Dermatology Doctors in Fort Gratiot, MI

Mrs. Ashley Faye Mort, PA-C
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2950 Keewahdin Rd, Fort Gratiot, MI 48059
Phone: 810-455-1600    Fax: 810-455-1620

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