Derrick Porter
Derrick Porter is an Other Specialist/Technologist in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2014.
- Licensed in
- MI
- In the registry since
- 2014
Practice location Address checks out
3101 S Gulley Rd Ste FDearborn, MI 48124-4406
Phone: (734) 407-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Specialist/Technologist (primary) | Taxonomy 246Z00000X (MI) |
|---|
Record details
| NPI number | 1962808824 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 5, 2014 |
| Last updated in NPPES | November 5, 2014 |
| Mailing address | 136 William St, Springfield, MA 01105-2324 |
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