Provider Demographics
NPI:1760421861
Name:WHITE, LARRY CURTIS (DO)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:CURTIS
Last Name:WHITE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 E GUNN RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48306-1931
Mailing Address - Country:US
Mailing Address - Phone:248-652-0664
Mailing Address - Fax:
Practice Address - Street 1:241 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ROMEO
Practice Address - State:MI
Practice Address - Zip Code:48065-4619
Practice Address - Country:US
Practice Address - Phone:586-752-9694
Practice Address - Fax:586-752-7871
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MILW006210207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine