Individual
JOHN C PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
407 S MAIN ST, VIROQUA, WI 54665
(608) 637-3195
(608) 637-8577
Mailing address
407 S MAIN ST, VIROQUA, WI 54665-2100
(608) 637-3195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47098
WI
Other
Enumeration date
03/16/2006
Last updated
10/24/2011
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