Individual
MRS. MARIANNE THERESA FORTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31141 23 MILE RD, CHESTERFIELD, MI 48047-1862
(586) 725-5380
(586) 229-2495
Mailing address
31141 23 MILE RD, CHESTERFIELD, MI 48047-1862
(586) 725-5380
(586) 229-2495
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000222
MI
Other
Enumeration date
04/07/2009
Last updated
01/13/2026
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