Individual
DR. MICHAEL CAMERON FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 716-2255
Mailing address
7887 E BELLEVIEW AVE STE 1100, ENGLEWOOD, CO 80111-6097
(720) 283-6700
(330) 451-4023
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50673
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033390257
—
CO
05
—
5913653
—
NC
Enumeration date
11/15/2007
Last updated
10/15/2018
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