Individual
DR. PHILLIP PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 OAKLEAF WAY, SUITE A, ALTOONA, WI 54720-2245
(715) 832-1400
Mailing address
1200 OAKLEAF WAY, SUITE A, ALTOONA, WI 54720-2245
(715) 832-1400
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
45030 020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34275200
—
WI
Enumeration date
07/28/2006
Last updated
12/17/2021
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