MRS. Mary Therese Fornetti, MMS PA-C

NPI #1760750889 in Iron Mountain, Michigan

Provider Information

NPI Number: 1760750889
Entity Type: Individual
Name: MRS. Mary Therese Fornetti, MMS PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MMS PA-C
Enumeration Date: Dec 3, 2011
Last Updated: Jun 17, 2013

Practice Location

Address: 325 E H ST
City: Iron Mountain
State: Michigan
ZIP Code: 49801-4760
Phone: (906) 774-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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