Organization
GREGORY J FORSTALL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J FORSTALL M.D. (PRESIDENT)
(810) 720-0639
Entity
Organization
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
Enumeration date
11/01/2006
Last updated
02/26/2016
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