Individual
DEVYN PORATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39555 W 10 MILE RD STE 302, NOVI, MI 48375-2950
(248) 426-7200
Mailing address
15739 SCOTT ST, SOUTHGATE, MI 48195-1323
(734) 308-7224
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5315094078
MI
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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