Individual
MR. STEPHEN WAYNE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
14021 SHERWOOD ST, OAK PARK, MI 48237-1356
(248) 978-7149
Mailing address
14021 SHERWOOD ST, OAK PARK, MI 48237-1356
(248) 978-7149
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704219983
MI
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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