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Mark White

NPI 1124796461 · on the registry since 2021 · sole proprietor

Practice

Address
2026 Lapeer Ave Ste 1
Port Huron, MI 48060
Phone
(810) 969-7899
Fax
(810) 432-8081

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan