WILLIAM PORTILLA

DULUTH, MN
NPI1649215674
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: MN  26755)
Enumeration Date2006-06-16
Last Update Date2007-07-08
Business Address
-- WILLIAM PORTILLA
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-8364
Mailing Address
-- WILLIAM PORTILLA
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-8364
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