Peter R White, MD | |
801 Pro Dr, Ste D1, Celina, OH 45822-3307 | |
(419) 394-3387 | |
(419) 586-8509 |
Full Name | Peter R White |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 801 Pro Dr, Celina, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215984661 | NPI | - | NPPES |
1942630348 | Other | OH | GROUP NPI- GRAND LAKE FAMILY & PEDIATRICS |
H280560 | Other | OH | MEDICARE INDIVIDUAL PTAN |
9934723 | Other | OH | MEDICARE GROUP PTAN |
2016204 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 35-072242 (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
Peter R White, MD 200 Saint Clair Ave, Jtdm Family Practices Llc, Saint Marys, OH 45885-2400 Ph: (419) 394-3387 | Peter R White, MD 801 Pro Dr, Ste D1, Celina, OH 45822-3307 Ph: (419) 394-3387 |
News Archive
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