Individual
MICHAEL R. PORTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 ALKYRE RUN, SUITE 380, WESTERVILLE, OH 43082-6909
(614) 899-9188
(614) 899-9198
Mailing address
450 ALKYRE RUN, SUITE 380, WESTERVILLE, OH 43082-6909
(614) 899-9188
(614) 899-9198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-03-8582
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0366205
—
OH
Enumeration date
12/05/2005
Last updated
03/15/2011
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