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Lisa M Porter-grenn, MD
Diagnostic Radiology Physician in Madison Heights, Michigan
NPI 1457361792

Lisa M Porter-grenn is a Diagnostic Radiology Physician based in Birmingham, MI and is specialized in Diagnostic Radiology. Lisa M Porter-grenn practices in Madison Heights, MI and has the professional credentials of MD. The NPI Number for Lisa M Porter-grenn is 1457361792 and holds a License No. 4301407005 (Michigan).

The current practice location address for Lisa M Porter-grenn is 27379 Dequindre, Madison Heights, MI and can be reached out via phone at 248-398-4488 and via fax at 248-398-4995.

Location: 27379 Dequindre, Madison Heights, MI, 48009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457361792
Provider Name
Lisa M Porter-grenn
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
27379 Dequindre, Madison Heights, MI, 48009
Phone Number
248-398-4488
Fax Number
248-398-4995
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3349763 05 MI
institution
Provider Business Practice Location Address Details
Address
27379 Dequindre
City
Madison Heights
State
Michigan
Zip
48071
Phone Number
248-398-4488
Fax Number
248-398-4995
person
Provider Business Mailing Address Details
Address
27379 Dequindre
City
Madison Heights
State
Michigan
Zip
48071
Phone Number
248-398-4488
Fax Number
248-398-4995
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301407005 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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