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Individual

ERNEST POORTINGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8303 PLATT RD, SALINE, MI 48176-9773
(734) 295-4811
Mailing address
1415 E STADIUM BLVD, ANN ARBOR, MI 48104-4409
(734) 295-4811

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
4301080600
MI

Other

Enumeration date
09/15/2006
Last updated
07/08/2007
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