Individual
FORSETINE WES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8144 TRAVERSE ST, DETROIT, MI 48213-1031
(313) 587-0339
(313) 567-1060
Mailing address
PO BOX 13215, DETROIT, MI 48213-0215
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
VWEST365
MI
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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