Rebecca M Ganzow-Fortier, PA-C

NPI #1194812180 in Baldwin, Michigan

Provider Information

NPI Number: 1194812180
Entity Type: Individual
Name: Rebecca M Ganzow-Fortier, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 10, 2006
Last Updated: Feb 9, 2022

Practice Location

Address: 1615 MICHIGAN AVE
City: Baldwin
State: Michigan
ZIP Code: 49304-7984
Phone: (231) 745-4624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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