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Organization
WHITE PINE FAMILY MEDICINE
Active
Organization
WHITE PINE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE R WILHOLT RT(R) (PRACTICE MANAGER)
69166962020
Entity
Organization
Contact information
Practice address
261 N MAIN, CEDAR SPRINGS, MI 49319-9709
(616) 696-2020
(616) 696-4860
Mailing address
261 N MAIN, PO BOX 221K, CEDAR SPRINGS, MI 49319-9709
(616) 696-2020
(616) 696-4860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002704
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4737787
—
MI
Enumeration date
05/20/2006
Last updated
08/22/2020
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