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1518379650
MICHAEL WHITE
DETROIT, MI
NPI
1518379650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI 4704288194)
Enumeration Date
2014-05-23
Last Update Date
2024-01-12
Business Address
MICHAEL WHITE
3100 BROADWAY ST. SUITE 400
DETROIT, MI 48226-2202
Phone number: 586-335-2006
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Mailing Address
MICHAEL WHITE
16134 COLLINSON AVE
EASTPOINTE, MI 48021-3651
Phone number: 313-585-3534
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