GEORGE A PORTILLA

DETROIT LAKES, MN
NPI1245287010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: MN  27750)
Enumeration Date2006-05-27
Last Update Date2011-11-21
Business Address
GEORGE A PORTILLA MD
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-847-5611
Mailing Address
GEORGE A PORTILLA MD
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-847-5611
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