DR. Michael John Portonova, D.C.

NPI #1790017176 in Hazleton, Pennsylvania

Provider Information

NPI Number: 1790017176
Entity Type: Individual
Name: DR. Michael John Portonova, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Feb 9, 2010
Last Updated: Oct 21, 2015

Practice Location

Address: 943 NORTH CHURCH STREET
City: Hazleton
State: Pennsylvania
ZIP Code: 18201
Phone: (570) 401-1916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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