Brenda R Fortunate in Grand Blanc - Family Medicine
Brenda R Fortunate - NPI 1760584593
Brenda R Fortunate is a Family Medicine in Grand Blanc, Michigan. Brenda R Fortunate practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Brenda R Fortunate is 1760584593. The last update date is 2011-11-21.
Brenda R Fortunate's current location address is 2462 E Hill Rd, Grand Blanc, Michigan. You can contact this provider via phone number 8106951234 and fax number 8106033182. The mailing address for Brenda R Fortunate is 2462 E Hill Rd, Grand Blanc, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda R Fortunate |
|---|---|
| Address | 2462 E Hill Rd, Grand Blanc, Michigan |
| Phone Number | 8106951234 |
| Fax Number | 8106033182 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1760584593 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2011-11-21 |
Provider Mailing Address Detail
| Address | 2462 E Hill Rd |
|---|---|
| City | Grand Blanc |
| State | Michigan (MI) |
| Post Code | 484395427 |
| Phone Number | 8106951234 |
| Fax Number | 8106033182 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101008905 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4673868 | MI | -- |
Post Comment/ Review Below
What is the Brenda R Fortunate's unique identification number?
The Brenda R Fortunate has been assigned the NPI (National Provider Identifier) Number 1760584593 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Brenda R Fortunate's facilities are situated?
The facilities of Brenda R Fortunate are physically located at the following address: 2462 E Hill Rd, Grand Blanc, MI, 484395427.
What is Brenda R Fortunate's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brenda R Fortunate is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1760584593 to Brenda R Fortunate?
The Centers for Medicare & Medicaid Services assigned the 1760584593 to Brenda R Fortunate on 2006-09-02.
As of what date were the Brenda R Fortunate's details last updated?
The information pertaining to the Brenda R Fortunate, including its address, specialty, and other details, was most recently updated on 2011-11-21.
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