KIP MICHAEL FORNESS

GRAND RAPIDS, MI
NPI1437927894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301019395)
Enumeration Date2023-12-15
Last Update Date2024-12-02
Business Address
KIP MICHAEL FORNESS PSYD
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503-2530
Phone number: 616-267-2830
Mailing Address
KIP MICHAEL FORNESS PSYD
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: