D L FORTSON M D P C

MUNSTER, IN
NPI1184710428
Doing Business AsFORTSON FAMILY CARE AND WELLNESS CENTER
Entity TypeOrganization
Authorized ContactDARRYL L FORTSON
President & CEO
219-924-9277
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01037803)
Enumeration Date2006-10-05
Last Update Date2007-12-03
Business Address
D L FORTSON M D P C
1950 45TH AVE SUITE 100
MUNSTER, IN 46321-3917
Phone number: 219-924-9277
Mailing Address
D L FORTSON M D P C
1950 45TH AVE SUITE 100
MUNSTER, IN 46321-3917
Phone number: 219-924-9277