Robert J Porter JR.
Cardiothoracic Vascular Surgeon
1316 Mercy Dr
Muskegon
, Michigan 49444-1835
Robert J Porter JR.
Cardiothoracic Vascular Surgeon
1316 Mercy Dr
Muskegon
, Michigan 49444-1835
(231) 733-8131
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Robert J Porter JR.
- 1316 Mercy Dr
- Muskegon, MI
- Zip : 49444-1835
- Fax : (231) 733-8131
- Phone : (231) 739-9461
Second Address
- Robert J Porter JR.
- 1316 Mercy Dr
- Muskegon, MI
- Zip : 49444-1835
- Fax : (231) 733-8131
- Phone : (231) 739-9461
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 040978 | MI |
National Provider Identifier
| NPI | 1023071321 |
|---|---|
| Provider Name | Robert J Porter JR. |
| First Address | Muskegon, MI 49444-1835 |
| Second Address | Muskegon, MI 49444-1835 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1433895 | (05) | MI |
| A77576 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.