Individual
GREGORY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
417 SKYLINE BLVD, CLOQUET, MN 55720-1164
(218) 879-1271
Mailing address
1224 29TH ST, CLOQUET, MN 55720-2874
(218) 428-4734
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5200
MN
Other
Enumeration date
06/21/2017
Last updated
12/11/2020
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