Individual
WALTER M WHITEHOUSE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5325 ELLIOTT DR, SUITE 104, YPSILANTI, MI 48197-8633
(734) 712-8150
(734) 712-8151
Mailing address
5325 ELLIOTT DR, SUITE 104, YPSILANTI, MI 48197-8633
(734) 712-8150
(734) 712-8151
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301034157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4146952-10
—
MI
Enumeration date
06/21/2006
Last updated
09/19/2012
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