| Provider / Organization | NPI | Date Certified |
|---|---|---|
| WILLIAM D MASON | 1417537705 | 2021-04-11 |
William D Mason is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1417537705. Registration indicates William D Mason is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | William D Mason MD |
| Practice Office Address | 2799 W GRAND BLVD # K8W821 DETROIT, MI US |
| Practice Office Telephone | 3139169046 |
| Practice Office Fax | 3139167263 |
| Mailing Address | 2799 W GRAND BLVD # K8W821 DETROIT, MI 482022608 US |
| Business Telephone | 3139169046 |
| Business Fax | 3139167263 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 6777 W Maple Rd | West Bloomfield, MI 483223013 | 2483251000 |
| 43401 Garfield Rd Ste A | Clinton Twp, MI 480381151 | 5862632781 |
| 19401 Hubbard Dr | Dearborn, MI 481262641 | 3139828100 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |