Individual
MARCUS PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
28000 WOODWARD AVE, ROYAL OAK, MI 48067-0960
(248) 440-1488
Mailing address
11734 LANSDOWNE ST, DETROIT, MI 48224-1699
(248) 440-1488
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704294821
MI
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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