Individual
ALEXIS WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 9TH ST N, VIRGINIA, MN 55792-2329
(218) 786-8364
Mailing address
420 E 1ST ST, DULUTH, MN 55805-1901
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
14038
MN
363A00000X
Physician Assistant
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14038
MN PA-C LICENSE
MN
Enumeration date
12/17/2020
Last updated
07/24/2023
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