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Individual

MR. CHARLES SALVATORI PORRETTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, FNP-C

Contact information

Practice address
13700 19 MILE RD, STERLING HEIGHTS, MI 48313-2702
(586) 247-6020
Mailing address
54641 ARROW WOOD LN, NEW BALTIMORE, MI 48047-6304
(248) 890-7452

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04210147
MI

Other

Enumeration date
05/24/2022
Last updated
06/01/2022
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