Dr Lisa Marie Fortin, MD - Radiology in Detroit, MI

Dr Lisa Marie Fortin, MD is a Radiology - Diagnostic Radiology physician based in Detroit, Michigan. Dr Lisa Marie Fortin is licensed to practice in Michigan (license number 4301088394) and her current practice location is 2799 W Grand Blvd, Henry Ford Hospital, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at (313) 916-1384.

NPI number for Dr Lisa Marie Fortin is 1770794992 and her current mailing address is 1650 Adanac Ave, Windsor, ONTARIO. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770794992.

Contact Information

Dr Lisa Marie Fortin, MD
2799 W Grand Blvd, Henry Ford Hospital,
Detroit, MI 48202-2608
(313) 916-1384
Not Available



Physician's Profile

Full NameDr Lisa Marie Fortin
GenderFemale
SpecialityRadiology - Diagnostic Radiology
Location2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770794992
  • Provider Enumeration Date: 05/28/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Lisa Marie Fortin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770794992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301088394 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lisa Marie Fortin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lisa Marie Fortin, MD
1650 Adanac Ave,
Windsor, ONTARIO N9B1N-6

Ph: () -
Dr Lisa Marie Fortin, MD
2799 W Grand Blvd, Henry Ford Hospital,
Detroit, MI 48202-2608

Ph: (313) 916-1384

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Radiology Doctors in Detroit, MI

Dr. Brent David Griffith, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Kanika Khanna, M.D
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Dr. Michael Matthew Dominello, DO
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 4100 John R, Detroit, MI 48201
Phone: 800-527-6266    Fax: 313-576-9640
Rajinder P. Sharma, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202
Phone: 313-916-2436    
Milan V. Pantelic, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202
Phone: 313-916-2436    
Kristan Gail Jenkins-mosure, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 800-653-6568    
Kristin Booth, DO
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 517-402-1383    

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