Individual
ELIZABETH ANNE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50505 SCHOENHERR RD, SUITE 325, SHELBY TOWNSHIP, MI 48315-3140
(586) 580-1001
(586) 580-9289
Mailing address
43151 DALCOMA DR, SUITE 4, CLINTON TOWNSHIP, MI 48038-6306
(586) 286-8720
(866) 790-6803
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5601007818
MI
363A00000X
Physician Assistant
—
MI
Other
Enumeration date
09/14/2016
Last updated
12/15/2021
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