| Gregory J Forstall Md Pc | |
|
401 S Ballenger Hwy Flint MI 48532-3638 | |
| (810) 720-0639 | |
| (810) 230-1978 |
| Full Name | Gregory J Forstall Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 S Ballenger Hwy, Flint, Michigan |
| Authorized Official Name and Position | Gregory J Forstall (PRESIDENT) |
| Authorized Official Contact | 8107200639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory J Forstall Md Pc Po Box 321068 Flint MI 48532-0019 Ph: (810) 720-0639 | Gregory J Forstall Md Pc 401 S Ballenger Hwy Flint MI 48532-3638 Ph: (810) 720-0639 |
| NPI Number | 1487731287 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 02/26/2016 |
| Medicare PECOS PAC ID | 7012945587 |
|---|---|
| Medicare Enrollment ID | O20050727000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487731287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 4301061462 (Michigan) | Primary |
| Provider Name | Gregory Forstall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477642486 PECOS PAC ID: 6709814270 Enrollment ID: I20050728001144 |
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