Individual
EWA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E WARWICK DR, ALMA, MI 48801-1014
(989) 466-3228
Mailing address
1147 NW 64TH TER, GAINESVILLE, FL 32605-4218
(352) 333-5152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301510681
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
08/29/2025
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