Craig C Porter
MD | Pediatric Nephrology | Male
Craig C Porter, MD is a Milwaukee, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Craig C Porter is
9000 W Wisconsin Ave, Pediatric Nephrology, Milwaukee, Wisconsin - 53226-4874. He can be contacted on phone at
414-337-7702 and fax number 414-337-7105.
Craig C Porter is a sole proprietor of his business.
NPI number (Unique professional ID) for Craig C Porter is
1265413298 which was assigned by NPPES on 08 Nov, 2005 and it was last updated on 15 Sep, 2011.
Craig C Porter license number is
51603 for Pediatrics Pediatric Nephrology (2080P0210X) in Wisconsin.
Craig C Porter deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Craig C Porter basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Nephrology |
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| Provider Name : | Craig C Porter |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Craig C Porter address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9000 W Wisconsin Ave, Pediatric Nephrology
Milwaukee, WI, 53226-4874
United States |
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| Phone Number : | 414-337-7702 |
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| Fax Number : | 414-337-7105 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1265413298 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Nov, 2005 |
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| Last Updated On : | 15 Sep, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Craig C Porter are as mentioned. Primary taxonomy code for Craig C Porter, MD is
2080P0210X (Pediatrics Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0210X | Pediatrics Pediatric Nephrology | No | 27617 | IA |
| 2080P0210X | Pediatrics Pediatric Nephrology | Yes | 51603 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Craig C Porter such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1265413298 | MEDICAID | WI | |
| 29989 | Other | IA | WELLMARK BCBS |
| 0299891 | MEDICAID | IA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9000 W Wisconsin Ave, Pediatric Nephrology
Milwaukee, WI, 53226-4874
United States |
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| Phone Number : | 414-337-7702 |
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| Fax Number : | 414-337-7105 |
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Business Location:
Patients can refer following map for directions to
Craig C Porter practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.