# KERMIT E. WHITE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164784815
- **Authorized official:** DR. KERMIT WHITE MD (OWNER)
- **Authorized official phone:** (248) 504-9723

## Contact information

- **Practice address:** 33000 COVINGTON CLUB DR, APT 1, FARMINGTON HILLS, MI 48334-1647
- **Practice address phone:** (248) 504-9723
- **Mailing address:** 33000 COVINGTON CLUB DR, APT 1, FARMINGTON HILLS, MI 48334-1647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2012
- **Last updated:** 06/08/2012