Individual
MR. RICHARD ALLEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
655 EAST CEDAR AVENUE, GLADWIN, MI 48624
(989) 426-9295
Mailing address
655 E CEDAR AVE, GLADWIN, MI 48624-2215
(989) 426-9295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704233705
MI
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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