JEFFREY SAM PORTER

BRAINERD, MN
NPI1164496345
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MN  46608)
Enumeration Date2006-02-15
Last Update Date2016-01-29
Business Address
Mr. JEFFREY SAM PORTER MD
523 N 3RD ST
BRAINERD, MN 56401-3054
Phone number: 218-829-2861
Mailing Address
Mr. JEFFREY SAM PORTER MD
1406 6TH AVE N
SAINT CLOUD, MN 56303-1900
Phone number: 320-253-1596
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