MEDICARE: DANIEL B WHITE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4301025007	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110222731	OTHER	MI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	700F37550	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1457460008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL B WHITE M.D.

Provider Business Mailing Address
First Line	:	135 BARCLAY CIR
Second Line	:	SUITE 100
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-4599
Country	:	US
Telephone Number	:	248-852-2277
Fax Number	:

Provider Business Practice Location Address
First Line	:	135 BARCLAY CIR
Second Line	:	SUITE 100
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-4599
Country	:	US
Telephone Number	:	248-852-2277
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	01/02/2013

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