Individual
DR. MICHELLE LEE WHITFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MICHIGAN ST NE # MC-71, GRAND RAPIDS, MI 49503-2560
(616) 391-5310
(616) 391-5343
Mailing address
100 MICHIGAN ST NE # MC-845, GRAND RAPIDS, MI 49503-2560
(616) 391-5310
(616) 391-5343
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301088600
MI
207P00000X
Emergency Medicine Physician
72214
WI
207P00000X
Emergency Medicine Physician
MD2011-0109
NM
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
13667
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740490200
—
MI
Enumeration date
05/23/2007
Last updated
03/13/2023
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