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Individual

ROBERT J PORTER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1316 MERCY DR, MUSKEGON, MI 49444-1835
(231) 739-9461
(231) 733-8131
Mailing address
1316 MERCY DR, MUSKEGON, MI 49444-1835
(231) 739-9461
(231) 733-8131

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
040978
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1433895
MI
Enumeration date
04/08/2006
Last updated
07/08/2007
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