Individual ProviderBob M WilliamsEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address4075 Copper Ridge Dr, Traverse City, MI 49684-7059(800) 253-5358(800) 701-3381PECOS EnrollmentBased on the most recent information from CMS, provider Bob M Williams does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1942365275Provider TypeIndividualFull NameWilliams, Bob MTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date12/27/2006Last Updated8/20/2009Contact InformationPractice LocationPractice Address4075 Copper Ridge Dr, Traverse City, MI 49684-7059Phone(800) 253-5358Fax(239) 939-1682Mailing LocationMailing Address4350 Fowler St, Fort Myers, FL 33901-2699Phone(800) 701-3381Fax(239) 939-1682Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense4301029530MichiganCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense158202New YorkCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseMD031097EPennsylvania