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Individual
GREGORY J FORTIN
Active
Individual
GREGORY J FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
GF048390
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202532841
BC/BS OF MICHIGAN
MI
01
—
0210222032
HEALTHPLUS OF MICHIGAN
MI
01
—
105381
PREFERRED CHOICE PPO
MI
01
—
109241
GREAT LAKES HEALTH PLAN
ME
01
—
204107
MCLAREN HEALTH PLAN/ADVAN
MI
05
—
2607980
—
MI
01
—
382237803112
COMMUNITY CHOICE
MI
01
—
4294605
AETNA
MI
01
—
B63761
HEALTH ALLIANCE PLAN
MI
01
—
C1986
M-CARE
MI
Enumeration date
02/02/2006
Last updated
11/27/2007
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