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Individual

DR. PHILLIP MICHAEL PORCELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3700 SOUTHERN BLVD STE 300, KETTERING, OH 45429-1265
(937) 643-9299
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 752-2305
(937) 522-7513

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
34010246
OH
207T00000X
Neurological Surgery Physician
BB0454912(81)
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0050529
OH
Enumeration date
05/22/2007
Last updated
10/02/2025
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