Carrie Kraeger Porter, PA-C
Physician Assistant in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1003103003
StatusActive
Last updated in NPPESMay 28, 2024
Details
- NPI
- 1003103003
- Entity type
- Individual (NPI-1)
- Name
- Carrie Kraeger Porter
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2011
- Certification date
- May 28, 2024
- Last updated
- May 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601006893 | MI | Yes |
| 363A00000X | Physician Assistant | MA063198 | PA | |
| 363A00000X | Physician Assistant | – | – |
Other names
- Carrie Elizabeth Porter (Former Name)
Practice location
1500 E Medical Center DrAnn Arbor, MI 48109-5000
Phone 734-936-6666
Mailing address
3621 S State StAnn Arbor, MI 48108-1633
Phone 734-647-5299
Other practice locations
25 Church St
Wilkes Barre, PA 18702-3507
Wilkes Barre, PA 18702-3507
Phone 570-808-3100 · Fax 570-808-8935
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