Individual
MR. DWIGHT WENISLOW PORTER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
1852 WEST GRAND BLVD, DETROIT, MI 48208
(313) 894-8444
(313) 894-5542
Mailing address
1852 WEST GRAND BOULEVARD, DETROIT, MI 48208
(313) 894-8444
(313) 894-5542
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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