Individual
BAILEY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 MICHIGAN ST NE STE 3100, GRAND RAPIDS, MI 49503-2563
(616) 954-9800
Mailing address
1305 AIRFIELD LN, MIDLAND, MI 48642-4791
(989) 330-3063
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013427
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315261772
LICENSE
MI
01
—
5601013427
LICENSE
MI
Enumeration date
07/14/2025
Last updated
10/03/2025
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