Individual
MICHAEL J FORNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101008877
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558407189
GROUP NPI
MI
01
—
2052800944
BCBS
MI
05
—
4632079
—
MI
Enumeration date
02/27/2006
Last updated
10/23/2024
Update your record
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