Individual
DR. WILLIAM CALVIN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
712 S CASCADE ST, STE 608, FERGUS FALLS, MN 56537-2913
(218) 736-8000
(218) 739-6718
Mailing address
712 S CASCADE ST, STE 608, FERGUS FALLS, MN 56537-2913
(218) 736-8000
(218) 739-6718
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
32055
MN
207Y00000X
Otolaryngology Physician
5644
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089790600
—
MN
01
—
11830
BCBS ND
ND
05
—
16002
—
ND
01
—
2T996PO
BCBS MN
MN
Enumeration date
10/25/2005
Last updated
02/16/2017
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