Individual
DR. DONALD LOUIS PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN ST STE M-283, KALAMAZOO, MI 49007-5382
(269) 349-7696
(269) 349-0610
Mailing address
901 S OAKLAND ST, SAINT JOHNS, MI 48879-2200
(989) 224-8971
(989) 227-3308
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301037722
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265651810
—
MI
Enumeration date
10/12/2005
Last updated
11/27/2023
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