Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 2001
NPI: 1366591828
Practice Locations (1)
THE PORRETTA CENTER FOR ORTHOPAEDIC SURGERY, PLLC
22250 PROVIDENCE DR, SUITE 401
SOUTHFIELD, MI 480756212
2485630306
Source: CMS National Downloadable File, September 2026.