Gregory J Fortin, M.D.
in Flint, MI. Individual provider (NPI-1).
NPI number1295707487
StatusActive
Last updated in NPPESNov 27, 2007
Details
- NPI
- 1295707487
- Entity type
- Individual (NPI-1)
- Name
- Gregory J Fortin
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2006
- Last updated
- Nov 27, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | GF048390 | MI | Yes |
Practice location
5020 W Bristol RdFlint, MI 48507-2919
Phone 810-732-1620 · Fax 810-732-8559
Mailing address
5020 W Bristol RdFlint, MI 48507-2919
Phone 810-732-1620 · Fax 810-732-8559
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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