Individual
MICHAEL WILLIAM PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(631) 219-5023
Mailing address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(631) 219-5023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04542
TN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2023-01364
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2018
Last updated
11/29/2023
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