Mark S White, OD

NPI #1962491902 in Saint Johns, Michigan

Provider Information

NPI Number: 1962491902
Entity Type: Individual
Name: Mark S White, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 20, 2005
Last Updated: Aug 11, 2011

Practice Location

Address: 1002 N US 27
City: Saint Johns
State: Michigan
ZIP Code: 48879-1129
Phone: (989) 224-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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