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Theresa White, PA-C

NPI 1790911204 · on the registry since 2009 · sole proprietor

Practice

Address: 37605 Pembroke Ave
Livonia, MI 48152
Phone: (734) 591-7931
Fax: (734) 464-0335
Organisation at this address: Audrey Bruell, M.D. P.C.
Audrey J Bruell Dermatology
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Medical Physician Assistant
363AM0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-06-10

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