Individual
MRS. GWENDOLYN YVONNE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA,MS
Contact information
Practice address
19401 HUBBARD DR, DEARBORN, MI 48126-2641
(313) 982-8280
(313) 982-8271
Mailing address
24310 CUSTIS ST, SOUTHFIELD, MI 48075-2504
(248) 559-4508
(248) 559-4508
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704105527
MI
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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