Amanda M Basil-Porter, PA-C
NPI #1528441854 in Saint Clair Shores, Michigan
Provider Information
- NPI Number
- 1528441854
- Entity Type
- Individual
- Name
- Amanda M Basil-Porter, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 6, 2015
- Last Updated
- Jan 19, 2021
Practice Location
- Address
- 25631 LITTLE MACK AVE STE 205
- State
- Michigan
- ZIP Code
- 48081-2108
- Phone
- (586) 443-2380
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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