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Individual

AMANDA LYNN PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
419 S CORAL ST, KALKASKA, MI 49646-2503
(231) 258-7777
Mailing address
419 S CORAL ST, KALKASKA, MI 49646-2503
(231) 258-7777
(231) 258-7786

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN29276
FL
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
4301512346
MI
2084N0400X
Neurology Physician
4301512346
MI
2084N0400X
Neurology Physician
Primary
90096
SC
2084N0400X
Neurology Physician
ME147513
FL
2084N0400X
Neurology Physician
TRN29276
FL

Other

Enumeration date
03/18/2019
Last updated
04/09/2026
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