Individual
MARK S WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1002 N US 27, SAINT JOHNS, MI 48879-1129
(989) 224-3937
(989) 224-4999
Mailing address
1002 N US 27, SAINT JOHNS, MI 48879-1129
(989) 224-3937
(989) 224-4999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002542
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4294310
—
MI
Enumeration date
10/20/2005
Last updated
08/11/2011
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