Individual
NATHAN S. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21000 E 12 MILE RD, ST CLAIR SHORES, MI 48081-1116
(586) 447-5100
(586) 447-5090
Mailing address
43750 GARFIELD RD, SUITE 211, CLINTON TWP, MI 48038-1135
(877) 996-9975
(586) 228-4533
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301070798
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01168
BCBS GROUP NUMBER
MI
05
—
4755678
—
MI
Enumeration date
12/30/2005
Last updated
05/12/2008
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