Individual
MICHELLE L. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
87 GRANDVIEW AVE, WATERBURY, CT 06708-2514
(203) 574-2020
Mailing address
87 GRANDVIEW AVE, WATERBURY, CT 06708-2514
(203) 574-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
69206
CT
207WX0120X
Cornea and External Diseases Specialist Physician
31926
NE
Other
Enumeration date
05/22/2008
Last updated
11/03/2021
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