Individual
ANN FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44300 DEQUINDRE RD, FAMILY MEDICINE CENTER, STERLING HEIGHTS, MI 48314-1003
(248) 964-0400
Mailing address
3601 W 13 MILE RD, 400-FSC/PCS, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704168467
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4644623
—
MI
01
—
500F318190
BCBSM
MI
Enumeration date
02/28/2006
Last updated
04/29/2009
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