Individual
DR. CARL LEE WHITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 BROADWAY ST, NILES, MI 49120-2704
(269) 683-1820
Mailing address
302 BROADWAY ST, NILES, MI 49120-2704
(269) 683-1820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301050966
MI
Other
Enumeration date
11/22/2006
Last updated
07/09/2007
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