Organization
CRAIG W WHITE DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG W WHITE (PRESIDENT)
(616) 225-9369
Entity
Organization
Contact information
Practice address
800 S MAPLEWOOD ST, GREENVILLE, MI 48838-3574
(616) 225-9369
Mailing address
800 S MAPLEWOOD ST, GREENVILLE, MI 48838-3574
(616) 225-9369
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
5101015205
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0855900995
BCBS
MI
Enumeration date
10/17/2007
Last updated
12/11/2009
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