Panacea Portal LLC
NPI #1003559675 in Burton, Michigan
Provider Information
- NPI Number
- 1003559675
- Entity Type
- Organization
- Organization Name
- Panacea Portal LLC
- Primary Specialty
- Contractor
- Enumeration Date
- Apr 20, 2022
- Last Updated
- Apr 20, 2022
Practice Location
Authorized Official
- Name
- BRIAN ROUSE
- Title
- PRESIDENT
- Phone
- (248) 509-4774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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