Individual
DR. MICHAEL G PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
551 N HILLSIDE ST STE 550, WICHITA, KS 67214-4928
(316) 686-2911
(316) 682-0826
Mailing address
551 N HILLSIDE ST STE 201, WICHITA, KS 67214-4923
(316) 263-0296
(316) 263-9523
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
0421808
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100126470B
—
KS
Enumeration date
07/08/2005
Last updated
08/02/2021
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