Individual
PORTIA ORELL MCINTOSH-CADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
31500 TELEGRAPH RD STE 115, BINGHAM FARMS, MI 48025-4302
(248) 621-9100
(248) 621-9111
Mailing address
31500 TELEGRAPH RD STE 115, BINGHAM FARMS, MI 48025-4302
(248) 621-9100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704217916NSA1814V
MI
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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