Individual
IBTISAM WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 UNION LAKE RD, COMMERCE TWP, MI 48382-4509
(248) 363-4392
(248) 363-7723
Mailing address
3050 UNION LAKE RD, COMMERCE TWP, MI 48382-4509
(248) 363-4392
(248) 363-7723
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029995
MI
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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