Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EUGENE JOHN FORTMAN
Active Sole ProprietorDR. EUGENE JOHN FORTMAN is a Periodontology healthcare provider located in MASON CITY, Iowa. NPI 1073688792 is currently active in the NPPES registry. Verify at CMS.
Periodontology · MASON CITY, IA
Registration Details
- NPI Number
- 1073688792
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2006 (19.753047149556 yrs)
- Last Updated
- Mar 17, 2018
- License
-
07746 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1010 4TH ST SW STE 300MASON CITY, IA, 504012856Browse IA providers · Browse ZIP 50401
- Phone
- 6414240301
- Fax
- 6414240301
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.