Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REBECCA M GANZOW-FORTIER, PA-C
ActiveREBECCA M GANZOW-FORTIER, PA-C is a Physician Assistant healthcare provider located in BALDWIN, Michigan. NPI 1194812180 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BALDWIN, MI
Registration Details
- NPI Number
- 1194812180
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2006 (19.835785329858 yrs)
- Last Updated
- Feb 9, 2022
- License
-
3068-023 (WI)
Practice Information
- Address
-
1615 MICHIGAN AVEBALDWIN, MI, 493047984Browse MI providers · Browse ZIP 49304
- Phone
- 2317454624
- Fax
- 2317454928
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BALDWIN, MI
| Name | Credential | NPI |
|---|---|---|
| MATTHEW J STEEL | PA | 1376571182 |
| WANDA JEAN OTTINGER | PA-C | 1306875604 |
| AUDREY LYNN KELLER | PA-C | 1003991530 |
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.