Individual
MS. MARCIA DIANNE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108-2552
(734) 222-3500
(734) 971-2487
Mailing address
50224 UPTOWN AVE, UNIT 202, CANTON, MI 48187-4469
(734) 657-2571
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704287781
MI
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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