Individual
MICHAEL J FORNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
880 MUNSON AVE STE H, TRAVERSE CITY, MI 49686-3661
(616) 267-2600
(616) 267-2601
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
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
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