Individual
JONATHAN PORATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR TC B1 380, ANN ARBOR, MI 48109-5305
(734) 763-7919
Mailing address
1500 E MEDICAL CENTER DR TC B1 380, ANN ARBOR, MI 48109-5305
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301503816
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
06/04/2018
Last updated
10/11/2021
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