Individual
GREGORY J FORSTALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 720-0639
(810) 230-1978
Mailing address
PO BOX 321068, FLINT, MI 48532-0019
(810) 720-0639
(810) 230-1978
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301061462
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301061462
LICENSE
MI
Enumeration date
10/11/2006
Last updated
03/07/2023
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