Wanda Marie Williams
Contractor • Detroit, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wanda Williams has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Wanda Williams was a registered Contractor practicing in Detroit, MI. Throughout an active medical career spanning 10 years, Wanda Williams provided care at the practice location at 4104 WOODHALL ST until profile deactivation on 2025-12-11.
Practice Location & Contact Primary Location
4104 Woodhall St
Detroit, MI 482242221
Specialty Benchmarks & Practice Insights
Comparative analytics for Contractor in Detroit, MI
Practicing in Detroit, MI (262 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171W00000X
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Career & Practice History Timeline
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Record deactivated on December 11, 2025
NPI status registered as active in NPPES database
Registered at 4104 WOODHALL ST, DETROIT, MI 482242221 (Tel: 3138212985)
Registered at 4104 WOODHALL ST, DETROIT, MI 482242221 (Tel: 3138212985)
Recorded as WANDA WILLIAMS
Contractor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4104 Woodhall St
Detroit, MI 482242221
Phone: 3138212985
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