Individual
DR. ROBERT W WHITE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 S 41ST ST, MANITOWOC, WI 54220-7312
(920) 320-4660
Mailing address
3714 N 50TH ST, SHEBOYGAN, WI 53083-2597
(803) 414-5189
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
39073
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01786342
—
NM
05
—
28777841
—
NM
05
—
46650024
—
NM
05
—
51305879
—
NM
05
—
53938577
—
NM
05
—
94939063
—
NM
Enumeration date
06/08/2008
Last updated
11/18/2022
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