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Individual

DR. MICHAEL JOSEPH PORTER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
29100 GATEWAY BLVD STE 100, FLAT ROCK, MI 48134-2764
(734) 379-9200
Mailing address
29100 GATEWAY BLVD STE 100, FLAT ROCK, MI 48134-2764
(734) 379-9200

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010572
MI

Other

Enumeration date
10/18/2017
Last updated
10/18/2017
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