Individual
DR. JAMES WHITE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, NP
Contact information
Practice address
950 N CASS LAKE RD, SUITE 107, WATERFORD, MI 48328-2370
(248) 681-0623
Mailing address
950 N CASS LAKE RD, SUITE 107, WATERFORD, MI 48328-2370
(248) 681-0623
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704156612
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4368404
—
MI
Enumeration date
12/22/2005
Last updated
03/26/2008
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