Joseph Mathew Fortier, PA-C

NPI #1235623455 in Sartell, Minnesota

Provider Information

NPI Number: 1235623455
Entity Type: Individual
Name: Joseph Mathew Fortier, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 20, 2018
Last Updated: Jun 8, 2020

Practice Location

Address: 1901 CONNECTICUT AVE S
City: Sartell
State: Minnesota
ZIP Code: 56377
Phone: (320) 259-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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