Individual
JOSEPH PORTELLI MATTHEW PORTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
37450 SCHOOLCRAFT RD STE 110, LIVONIA, MI 48150-1000
(734) 458-4601
Mailing address
41723 GLADE RD, CANTON, MI 48187-3773
(734) 377-1731
(734) 377-1731
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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