Organization
HEALTHWISE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY L WHYTE JR. (OWNER)
(248) 275-5221
Entity
Organization
Contact information
Practice address
25932 DEQUINDRE RD, WARREN, MI 48091-1071
(248) 275-5221
Mailing address
4484 VASSAR RD, GRAND BLANC, MI 48439-9118
(248) 275-5221
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704209317
MI
Other
Enumeration date
05/09/2013
Last updated
05/13/2013
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