Individual
MR. BERNARD DAVID PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18100 MEYERS RD, DETROIT, MI 48235-1426
(321) 262-6700
Mailing address
17534 BIRCHCREST DR, DETROIT, MI 48221-2735
(989) 274-2545
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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