Individual
NKIE FLORENTIA FORSAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11885 E 12 MILE RD STE 302B, WARREN, MI 48093-3467
(586) 558-9033
(586) 573-4209
Mailing address
11885 E 12 MILE RD STE 302B, WARREN, MI 48093-3467
(586) 558-9033
(586) 573-4209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
063457
MI
207RN0300X
Nephrology Physician
Primary
063457
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1444360
—
MI
Enumeration date
08/12/2006
Last updated
09/18/2025
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