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Contact Information

MALENA FORGACH, PHYSICIAN ASSISTANT
9099 E LANSING RD
DURAND, MI48429
 Phone: 989-288-0400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MALENA FORGACH · (Female)

NPI # 1104372358
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 08/28/2016
Last updated 09/29/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601007879
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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