Fortman, Dylan Douglas
Fortman, Dylan Douglas is an individual health care provider with primary practice located at 1500 E. Medical Center Drive , Ann Arbor MI 48109-5848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Fortman, Dylan Douglas can be contacted via phone (734) 647-8902.Contact Information
Primary practice address
1500 E. Medical Center Drive
Ann Arbor MI 48109-5848
Phone: (734) 647-8902
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 4351052083 | Michigan |
Profile Details
| NPI number | 1922621895 |
|---|---|
| LBN Legal business name | Fortman, Dylan Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2020 |
| Last updated | Jul 1st, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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