SearchMichigan104100000X

Monique Porter

NPI 1659651222 · on the registry since 2011 · sole proprietor

Practice

Address
20303 Kelly Rd
Detroit, MI 48225
Phone
(313) 245-7000
Organisation at this address
Northeast Guidance Center
Detroit Community Health Connection, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
45

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
101Y00000X
101YM0800X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-01-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan