Individual
MICHAEL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15414 HUBBELL ST, DETROIT, MI 48227-2968
(313) 575-0735
Mailing address
15414 HUBBELL ST, DETROIT, MI 48227-2968
(313) 575-0735
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9287256
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9287256
DEPARTMENT OF HUMAN RESOURCES
MI
Enumeration date
04/11/2015
Last updated
04/11/2015
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