Individual
DR. MICHELLE H WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5690 DTC BLVD STE 130W, GREENWOOD VILLAGE, CO 80111-3253
(303) 500-5042
(303) 872-6717
Mailing address
5690 DTC BLVD STE 130W, GREENWOOD VILLAGE, CO 80111-3253
(303) 500-5042
(303) 872-6717
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
DR0045241
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
571089770
TAX ID
SC
05
—
77001532
—
CO
05
—
GP2889
—
SC
Enumeration date
03/29/2006
Last updated
04/16/2024
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