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NPI Code Detail

MEDICARE: DR. JULIE M WHITE DO

MEDICARE: DR. JULIE M WHITE DO
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
1207L00000XAnesthesiology Physician2913OK
2207L00000XAnesthesiology Physician20137-875WI
3207L00000XAnesthesiology Physician20A19821CA
4207L00000XAnesthesiology Physician5101014475MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639138530
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE M WHITE DO
Provider Business Mailing Address
First Line : 1000 N OAK AVE
Second Line :
City : MARSHFIELD
State : WI
Zip : 54449-5703
Country : US
Telephone Number : 715-387-5511
Fax Number :
Provider Business Practice Location Address
First Line : 3501 CRANBERRY BLVD
Second Line :
City : WESTON
State : WI
Zip : 54476-5213
Country : US
Telephone Number : 715-393-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 06/26/2023

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Directions to “ DR. JULIE M WHITE DO” Practice Location

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