NPI 1003103003

Carrie Kraeger Porter, PAC

Practitioner Physician Assistant Ann Arbor, MI

Practice location

Address: 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000
Phone: (734) 936-6666
Mailing address: 3621 S State St, Ann Arbor, MI 48108-1633

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601006893 (MI)

Other Physician Assistant providers in Michigan →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence MA063198 (PA)

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1003103003
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2011
Record last updated: 28 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.