Individual
ANNETTE J. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301069610
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1600348
PHP
MI
01
—
3003304541
BCBS MI INDIVIDUAL PIN
MI
05
—
4299521
—
MI
Enumeration date
06/23/2006
Last updated
10/07/2009
Update your record
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