Provider Demographics
NPI:1831478361
Name:WRIGHT, WHITNEY MARIE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:WHITNEY
Middle Name:MARIE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:43475 DALCOMA DR
Mailing Address - Street 2:STE 200
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038
Mailing Address - Country:US
Mailing Address - Phone:586-228-2518
Mailing Address - Fax:586-228-2517
Practice Address - Street 1:43475 DALCOMA DR.
Practice Address - Street 2:STE 900
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038
Practice Address - Country:US
Practice Address - Phone:586-228-2518
Practice Address - Fax:586-228-2517
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2021-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI363A00000X
MI5601006135363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant