Individual
DR. TIMOTHY L WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301081151
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104487755
—
MI
01
—
12-30369
UNITED HEALTHCARE
MI
01
—
151419
GREAT LAKES HEALTH PLAN
MI
01
—
25193
HEALTH PLAN OF MICHIGAN
MI
01
—
350A349860
BLUE CROSS BLUE SHIELD
MI
01
—
7277005
AETNA
MI
Enumeration date
07/28/2005
Last updated
09/13/2023
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