Individual provider · Type 1 NPI

Joseph Portelli Matthew Portelli

Student in an Organized Health Care Education/Training Program · Livonia, MI

NPI number 1720570930 Active

Practice location

37450 Schoolcraft Rd Ste 110
Livonia, MI 48150-1000

Call (734) 458-4601 Map

Mailing address

41723 Glade Rd
Canton, MI 48187-3773

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720570930

Joseph Portelli Matthew Portelli's National Provider Identifier is 1720570930, issued on Jun 4, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Livonia, MI. The record was last updated on Jun 4, 2018.