Individual provider · Type 1 NPI

Brian J. Fortie

Medical Physician Assistant · Skowhegan, ME

NPI number 1255626784 Active

Practice location

46 Fairview Ave
Skowhegan, ME 04976-1481

Fax (207) 474-3441

Mailing address

PO Box 468
Skowhegan, ME 04976-0468

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA286 (ME)
Medical Physician Assistant Primary 363AM0700XPA286 (ME)

Medical Physician Assistant: Definition to come...

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About NPI 1255626784

Brian J. Fortie's National Provider Identifier is 1255626784, issued on Jun 13, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Skowhegan, ME. The record was last updated on Jun 30, 2023.