Individual
DAVID FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 4TH STREET NORTH, SUITE 3, FARGO, ND 58102
(701) 476-4145
Mailing address
222 4TH STREET NORTH, SUITE 3, FARGO, ND 58102
(701) 476-4145
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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