Individual
NANCY WHITE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 40000 WEST EIGHT MILE ROAD, NORTHVILLE, MI 48167
(248) 380-6200
Mailing address
HENRY FORD HEALTH SYSTEM, 40000 WEST EIGHT MILE ROAD, NORTHVILLE, MI 48167
(248) 380-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301058077
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
4301058077
MI
207X00000X
Orthopaedic Surgery Physician
4301058077
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H262390
BLUE CROSS-BLUE CROSS
—
05
—
316391210
—
MI
01
—
NW058077
CHAMPUS-CHAMPUS
—
Enumeration date
11/17/2006
Last updated
11/14/2022
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