William J Fortney OD

NPI 1588778377 - Optometrist - 152W00000X

NPI Details
NPI 1588778377
Gender Male
Enumeration Date 08/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
23469 MICHIGAN AVE
DEARBORN MI, 48124-1908, US
Phone (313) 565-5600
Fax (313) 562-3000
Business Location
23469 MICHIGAN AVE
DEARBORN MI, 48124-1908, US
Phone (313) 565-5600
Fax (313) 562-3000
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901001955
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According to our database, Dr. William J Fortney OD NPI is 1588778377, taxonomy code is 152W00000X and license number is 4901001955, license state is located at Michigan. William J Fortney OD physically located at 23469 Michigan Ave, Dearborn MI, 48124-1908. NPI Number William J Fortney OD has the Individual type.

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1588778377 NPI number is provided on an as is basis without warranty of any kind. 1588778377 is maintained by the National Plan & Provider Enumeration System. The contents of William J Fortney OD are for informational purposes only.