Individual
KENNETH FORSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
551 LINN ST, SUITE 150, ALLEGAN, MI 49010-1595
(269) 686-5800
(269) 686-5899
Mailing address
551 LINN ST, SUITE 150, ALLEGAN, MI 49010-1595
(269) 686-5800
(269) 686-5899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KF053710
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-31205
PHP PROV #
MI
01
—
080085320
RAILROAD MEDICARE
MI
01
—
080701206-1
BCBS
—
01
—
17121
HEALTH PLAN OF MI
MI
05
—
4959589
—
MI
01
—
7394
COMMUNITY CHOICE OF MI
MI
01
—
838570
UNITED HEALTHCARE
MI
01
—
KF053710
STATE LICENSE #
MI
01
—
P55310
BLUE CARE NETWORK
MI
Enumeration date
11/08/2005
Last updated
12/07/2011
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