Individual
MAXWELL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1775 E 14 MILE RD STE 110, BIRMINGHAM, MI 48009-7204
(248) 646-1775
(248) 646-4737
Mailing address
1775 E 14 MILE RD STE 110, BIRMINGHAM, MI 48009-7204
(248) 646-1775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101026124
MI
207Q00000X
Family Medicine Physician
5151013713
MI
Other
Enumeration date
05/23/2019
Last updated
07/19/2022
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