Individual
STEPHEN MATTHEW WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCBC-NP
Contact information
Practice address
15959 HALL RD STE 100, MACOMB, MI 48044-5364
(586) 416-5940
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704299429
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704299429
MI
Other
Enumeration date
02/02/2023
Last updated
06/25/2024
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