Individual
MR. THOMAS JOSEPH FORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5325 ELLIOTT DR, YPSILANTI, MI 48197-8633
(734) 712-8000
Mailing address
5325 ELLIOTT DR, YPSILANTI, MI 48197-8633
(734) 712-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704215186
MI
Other
Enumeration date
01/15/2008
Last updated
01/07/2009
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