Healthcare Provider Details

I. General information

NPI: 1851095483
Provider Name (Legal Business Name): ISADORA PORTER-HILL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ISADORA HILL MD

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23050 WEST RD STE 260
BROWNSTOWN TWP MI
48183-1473
US

IV. Provider business mailing address

1 FORD PL STE 3A
DETROIT MI
48202-3450
US

V. Phone/Fax

Practice location:
  • Phone: 734-671-1867
  • Fax:
Mailing address:
  • Phone: 800-436-7936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301518406
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: