Gregory J Fortin in Flint - Vascular Surgery
Gregory J Fortin - NPI 1295707487
Gregory J Fortin is a Vascular Surgery in Flint, Michigan. Gregory J Fortin practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Gregory J Fortin is 1295707487. The last update date is 2007-11-27.
Gregory J Fortin's current location address is 5020 W Bristol Rd, Flint, Michigan. You can contact this provider via phone number 8107321620 and fax number 8107328559. The mailing address for Gregory J Fortin is 5020 W Bristol Rd, Flint, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory J Fortin |
|---|---|
| Address | 5020 W Bristol Rd, Flint, Michigan |
| Phone Number | 8107321620 |
| Fax Number | 8107328559 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1295707487 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| Last Updated Date | 2007-11-27 |
Provider Mailing Address Detail
| Address | 5020 W Bristol Rd |
|---|---|
| City | Flint |
| State | Michigan (MI) |
| Post Code | 485072919 |
| Phone Number | 8107321620 |
| Fax Number | 8107328559 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | GF048390 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 210222032 | MI | HEALTHPLUS OF MICHIGAN | |
| 204107 | MI | MCLAREN HEALTH PLAN/ADVAN | |
| B63761 | MI | HEALTH ALLIANCE PLAN | |
| 382237803112 | MI | COMMUNITY CHOICE | |
| 4294605 | MI | AETNA | |
| 105381 | MI | PREFERRED CHOICE PPO | |
| 105381 | MI | CARE CHOICE HMO | |
| 109241 | ME | GREAT LAKES HEALTH PLAN | |
| 2607980 | MI | -- | |
| 202532841 | MI | BC/BS OF MICHIGAN |
Post Comment/ Review Below
What is the Gregory J Fortin's 1295707487?
The Gregory J Fortin's NPI (National Provider Identifier) Number is 1295707487. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gregory J Fortin is located?
The Gregory J Fortin is situated at the following address: 5020 W Bristol Rd, Flint, MI, 485072919.
What is Gregory J Fortin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory J Fortin's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295707487 to Gregory J Fortin?
The Centers for Medicare & Medicaid Services originally issued the 1295707487 to Gregory J Fortin on 2006-02-02.
As of what date was the information pertaining to Gregory J Fortin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gregory J Fortin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-27.