Individual
DR. MICHAEL M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32255 NORTHWESTERN HWY STE 130B, FARMINGTON HILLS, MI 48334-1566
(248) 354-9666
(248) 354-3653
Mailing address
29992 NORTHWESTERN HWY STE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
430104404425
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609851708
—
MI
01
—
MI4989062
MEDICARE PTAN
MI
Enumeration date
12/12/2005
Last updated
11/25/2019
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