Individual
KATHERINE I PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10 GRAND AVE, MADISON, WI 53705-3706
(608) 358-5833
Mailing address
10 GRAND AVE, MADISON, WI 53705-3706
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53980
WI
Other
Enumeration date
06/03/2008
Last updated
09/24/2020
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