Individual
XAVIER WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 WOODWARD AVE, SUITE 202, DETROIT, MI 48201-2061
(313) 832-0870
(313) 832-6024
Mailing address
3800 WOODWARD AVE, SUITE 202, DETROIT, MI 48201-2061
(313) 832-0870
(313) 832-6024
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
XW405376
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10043320001
WELLNESS PLAN
MI
01
—
103421
GREAT LAKES HMO
MI
01
—
2093489
CIGNA HEALTH INSURANCE
MI
05
—
3242604
—
MI
01
—
G22932
HEALTH ALLIANCE PLAN
MI
01
—
P00082403
TRAVELERS RAILROAD MEDICA
MI
01
—
XW405376
STATE LICENSE NUMBER
MI
Enumeration date
08/23/2006
Last updated
02/29/2008
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