Individual
JOHN C. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 MAPLE LANE, ASHLAND, WI 54806
(715) 685-5513
(718) 682-4022
Mailing address
1615 MAPLE LANE, ASHLAND, WI 54806
(715) 685-5513
(718) 682-4022
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37688
WI
207P00000X
Emergency Medicine Physician
Primary
37688-20
WI
207P00000X
Emergency Medicine Physician
MD23757
ME
207Q00000X
Family Medicine Physician
37688-020
WI
207Q00000X
Family Medicine Physician
37688-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124793
MEDICA PROVIDER NUMB
—
01
—
1011768
PREFERRED ONE
—
01
—
314P8WH
BLUE CROSS BLUE SHIE
—
01
—
32252000
GROUP HEALTH OF EAU
—
05
—
32252000
—
WI
01
—
390908320
STANDARD TAX ID NUMB
—
01
—
G28181
AMERICAS PPO
—
01
—
HP60964
HEALTH PARTNERS
—
01
—
P00341834
PALMETTO GBA RR ME
—
Enumeration date
07/21/2005
Last updated
11/24/2020
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