Organization
DOUGLAS M PORTZ MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS M PORTZ MD (OWNER)
(734) 475-3979
Entity
Organization
Contact information
Practice address
14650 OLD HIGHWAY US12, SUITE 101, CHELSEA, MI 48118
(734) 475-3979
(734) 433-4513
Mailing address
14650 OLD HIGHWAY US12, SUITE 101, CHELSEA, MI 48118
(734) 475-3979
(734) 433-4513
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
DP049712
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3085422
—
MI
Enumeration date
01/04/2007
Last updated
12/16/2009
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