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Individual

DR. AUTUMN LEE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1761 BEALL AVE, WOOSTER, OH 44691-2342
(330) 263-8428
Mailing address
1761 BEALL AVE, WOOSTER, OH 44691
(330) 263-8100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.099504
OH
208600000X
Surgery Physician
MT193296
PA
208M00000X
Hospitalist Physician
Primary
35.099504
OH

Other

Enumeration date
06/26/2008
Last updated
09/24/2014
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