LISA MARIE FORTIN

DETROIT, MI
NPI1770794992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MI  4301088394)
Enumeration Date2007-05-28
Last Update Date2007-07-08
Business Address
Dr. LISA MARIE FORTIN M.D.
2799 W GRAND BLVD HENRY FORD HOSPITAL
DETROIT, MI 48202-2608
Phone number: 313-916-1384
Mailing Address
Dr. LISA MARIE FORTIN M.D.
1650 ADANAC AVE
WINDSOR, ONTARIO N9B1N6
Phone number: