DOUGLAS R PORT

MILWAUKEE, WI
NPI1932121191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: WI  42020-021)
Enumeration Date2006-07-24
Last Update Date2009-01-30
Business Address
-- DOUGLAS R PORT D.O.
111 E WISCONSIN AVE
MILWAUKEE, WI 53202-4815
Phone number: 414-290-6720
Mailing Address
-- DOUGLAS R PORT D.O.
111 E WISCONSIN AVE
MILWAUKEE, WI 53202-4815
Phone number: 414-290-6720
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