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Organization
PORTAGE PHYSICIAN PRACTICES INC
Active
Organization
PORTAGE PHYSICIAN PRACTICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA BOWMAN (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
500 CAMPUS DR, STE. 5, HANCOCK, MI 49930-1569
(906) 483-1700
(906) 483-1270
Mailing address
500 CAMPUS DR, STE. 5, HANCOCK, MI 49930-1569
(906) 483-1700
(906) 483-1270
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208M00000X
Hospitalist Physician
—
—
213E00000X
Podiatrist
—
—
231H00000X
Audiologist
—
—
Other
Enumeration date
08/20/2013
Last updated
02/07/2023
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