JONATHON THOMAS PORTARO

DETROIT, MI
NPI1982410049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI  4704330807)
Enumeration Date2024-12-04
Last Update Date2025-02-28
Business Address
Mr. JONATHON THOMAS PORTARO NP
10201 E JEFFERSON AVE
DETROIT, MI 48214-3149
Phone number: 888-813-8326
Mailing Address
Mr. JONATHON THOMAS PORTARO NP
10201 E JEFFERSON AVE
DETROIT, MI 48214
Phone number: 313-396-5300
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