Individual
JULIE M FORSTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-7353
Mailing address
239 LADESIDE DR. SE, GRAND RAPIDS, MI 49506
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01087633A
IN
2085R0001X
Radiation Oncology Physician
Primary
061559
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3376831
—
MI
01
—
920003187
RAILROAD MEDICARE
MI
Enumeration date
07/12/2006
Last updated
09/13/2024
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