William Corsini
Individual provider Active NPI Surgery Physician · Bad Axe, MI
NPI 1831131853 · NPPES record last updated Dec 22, 2010
Key facts
- NPI
- 1831131853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 39677 (MI)
- Practice address
- 1060 S Van Dyke Rd
Bad Axe, MI 48413-9631 - Phone
- (989) 269-8701
- Fax
- (989) 269-7226
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39677 | MI | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 39677 | MI | Yes |
Addresses
Primary practice location
1060 S Van Dyke Rd
Bad Axe, MI 48413-9631
Mailing address
1060 S Van Dyke Rd
Bad Axe, MI 48413-9631
Phone (989) 269-8701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1543289 | Medicaid | MI |
Other providers in Bad Axe, MI
- Andrea Marie Cleland
- Michelle Colton
- Justin Michael Comeau
- Brianna Cook
- Andrew Copeland
- Craig J. McManaman D.O.PLLC
- Kelcey Crawford
- James T Cunningham
- Sarah Czewski
- Breann Darbee
All providers in Bad Axe, MI · Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.