Search › Michigan › 152WV0400X
Dan Fortenbacher, O.D
NPI 1760519946 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2908 Division Street
St Joseph, MI 49085 - Phone
- (269) 983-3309
- Fax
- (269) 983-0846
Registry record
- Primary taxonomy
- 152WV0400X
152WV0400X
- Also registered as
- 152W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan