| 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 |