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1770794992
LISA MARIE FORTIN
DETROIT, MI
NPI
1770794992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MI 4301088394)
Enumeration Date
2007-05-28
Last Update Date
2007-07-08
Business Address
Dr. LISA MARIE FORTIN M.D.
2799 W GRAND BLVD HENRY FORD HOSPITAL
DETROIT, MI 48202-2608
Phone number: 313-916-1384
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Mailing Address
Dr. LISA MARIE FORTIN M.D.
1650 ADANAC AVE
WINDSOR, ONTARIO N9B1N6
Phone number:
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