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Individual

DR. WAYNE BARLOW WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1473 E STATE ROAD 44 STE 5, CONNERSVILLE, IN 47331-8292
(765) 825-0511
(765) 827-1247
Mailing address
1770 W COUNTY ROAD 50 N, CONNERSVILLE, IN 47331-8443

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032858
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000605660
ANTHEM
IN
05
100115050
IN
Enumeration date
11/21/2005
Last updated
12/09/2020
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