Individual
MS. MALENA FORGACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
9099 E LANSING RD, DURAND, MI 48429
(989) 288-0400
Mailing address
5947 TROYES RD, EAST LANSING, MI 48823-9230
(989) 430-1166
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007879
MI
Other
Enumeration date
08/28/2016
Last updated
09/29/2019
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