Individual
DR. ANGELA M PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
46156 WOODWARD AVE, SUITE B, PONTIAC, MI 48342-5033
(248) 322-6747
(248) 322-3071
Mailing address
6820 OYSTER CV, WEST BLOOMFIELD, MI 48323-2051
(313) 333-0620
(248) 322-3071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
AP064427
MI
208D00000X
General Practice Physician
Primary
4301064427
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4483390
—
MI
Enumeration date
07/08/2005
Last updated
02/08/2017
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