Porter Physician Services Llc - Primary Care in Portage, IN

Porter Physician Services Llc is a primary clinic (Internal Medicine) in Portage, Indiana. The current practice location for Porter Physician Services Llc is 3630 Willowcreek Rd, Portage, Indiana. For appointments, you can reach them via phone at (219) 759-5791. The mailing address for Porter Physician Services Llc is 3630 Willowcreek Rd, Portage, Indiana and phone number is (219) 759-5791.

Porter Physician Services Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1457566309. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (219) 759-5791.

Contact Information

Porter Physician Services Llc
3630 Willowcreek Rd
Portage
IN 46368-5075
(219) 759-5791
(219) 759-3807

Primary Care Clinic Profile

Full NamePorter Physician Services Llc
SpecialityInternal Medicine
Location3630 Willowcreek Rd, Portage, Indiana
Authorized Official Name and PositionDebbie T Brewer (DIRECTOR OF PROVIDER ENROLLMENT)
Authorized Official Contact6154657626
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Porter Physician Services Llc
3630 Willowcreek Rd
Portage
IN 46368-5075

Ph: (219) 759-5791
Porter Physician Services Llc
3630 Willowcreek Rd
Portage
IN 46368-5075

Ph: (219) 759-5791

NPI Details:

NPI Number1457566309
Provider Enumeration Date05/14/2007
Last Update Date01/28/2009

Medical Identifiers

Medical identifiers for Porter Physician Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457566309NPI-NPPES
200866880AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary

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