| Craig W White Do Pc | |
|
800 S Maplewood St Greenville MI 48838-3574 | |
| (616) 225-9369 | |
| Not Available |
| Full Name | Craig W White Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 800 S Maplewood St, Greenville, Michigan |
| Authorized Official Name and Position | Craig W White (PRESIDENT) |
| Authorized Official Contact | 6162259369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig W White Do Pc 800 S Maplewood St Greenville MI 48838-3574 Ph: (616) 225-9369 | Craig W White Do Pc 800 S Maplewood St Greenville MI 48838-3574 Ph: (616) 225-9369 |
| NPI Number | 1174712046 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 12/11/2009 |
| Medicare PECOS PAC ID | 4284683491 |
|---|---|
| Medicare Enrollment ID | O20050114000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174712046 | NPI | - | NPPES |
| 0855900995 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 5101015205 (Michigan) | Primary |
| Provider Name | Craig W White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487733242 PECOS PAC ID: 1153214085 Enrollment ID: I20040205000026 |
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