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1194180208
MICHAEL PORTER
MILWAUKEE, WI
NPI
1194180208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 201192-30)
Enumeration Date
2015-12-17
Last Update Date
2015-12-17
Business Address
Mr. MICHAEL PORTER RN
2632A N BARTLETT AVE
MILWAUKEE, WI 53211-3501
Phone number: 414-975-0254
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Mailing Address
Mr. MICHAEL PORTER RN
2632A N BARTLETT AVE
MILWAUKEE, WI 53211-3501
Phone number: 414-975-0254
Copy
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