Provider Demographics
NPI:1558618785
Name:ANNE WHITE MD PLLC
Entity Type:Organization
Organization Name:ANNE WHITE MD PLLC
Other - Org Name:SAINT CLAIR ALLERGY AND ASTHMA CENTER PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:H
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-884-5674
Mailing Address - Street 1:50505 SCHOENHERR RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-3140
Mailing Address - Country:US
Mailing Address - Phone:586-884-5656
Mailing Address - Fax:586-884-5674
Practice Address - Street 1:50505 SCHOENHERR RD
Practice Address - Street 2:SUITE 350
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-3140
Practice Address - Country:US
Practice Address - Phone:586-884-5656
Practice Address - Fax:586-884-5674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301059514207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI6075Medicare PIN