# GREGORY J FORTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295707487
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | GF048390 | MI | Yes |

## Other

- **Enumeration date:** 02/02/2006
- **Last updated:** 11/27/2007

## 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 |