Individual
DR. DENTON WILSON PORTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9925 HUDSON PL, WOODBURY, MN 55125-9461
(651) 702-7980
(651) 702-7982
Mailing address
9925 HUDSON PL, WOODBURY, MN 55125-9461
(651) 702-7980
(651) 702-7982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118755
MN
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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