Individual
DOUGLAS MARTIN PORTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
775 S MAIN ST, CHELSEA, MI 48118-1370
(734) 475-3979
(734) 475-3986
Mailing address
775 S MAIN ST, CHELSEA, MI 48118-1370
(734) 475-3979
(734) 475-3986
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
DP049712
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3085422
—
MI
Enumeration date
05/18/2006
Last updated
07/08/2007
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