Lisa M Porter-grenn, MD | |
27379 Dequindre, Madison Heights, MI 48071 | |
(248) 398-4488 | |
(248) 398-4995 |
Full Name | Lisa M Porter-grenn |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 27379 Dequindre, Madison Heights, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457361792 | NPI | - | NPPES |
3349763 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301407005 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lisa M Porter-grenn, MD 735 Fairfax St, Birmingham, MI 48009 Ph: (248) 647-5774 | Lisa M Porter-grenn, MD 27379 Dequindre, Madison Heights, MI 48071 Ph: (248) 398-4488 |
Dr. Syed Mahmood Ali Khan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 27483 Dequindre Rd, Suite 101, Madison Heights, MI 48071 Phone: 248-544-9050 Fax: 248-544-2331 | |
Roger B Fenton, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 27379 Dequindre, Madison Heights, MI 48071 Phone: 248-398-4488 Fax: 248-398-4995 |