PORTER PHYSICIAN SERVICES LLC NPI 1457566309

NPI Details

PORTER PHYSICIAN SERVICES LLC is an internal medicine in Portage, IN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PORTER PHYSICIAN SERVICES LLC NPI is 1457566309. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3630 WILLOWCREEK RD
PORTAGE, IN
ZIP 46368-075
Phone: (219) 759-5791
Fax: (219) 759-3807

The provider's authorized official is Debbie T Brewer .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (615) 465-7626.

The CLIA number assigned to this NPI record is 15D0925904 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 1/28/2009.

Taxonomy Codes

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