Individual
DR. BRENDA R FORTUNATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2462 E HILL RD, SUITE 1, GRAND BLANC, MI 48439-5064
(810) 695-1234
(810) 603-3182
Mailing address
2462 E HILL RD, STE 1, GRAND BLANC, MI 48439-5427
(810) 695-1234
(810) 603-3182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008905
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4673868
—
MI
Enumeration date
09/02/2006
Last updated
11/21/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us