Provider Demographics
NPI:1689635344
Name:FORCIER, MICHELLE (MD MPH)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:FORCIER
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:593 EDDY ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4923
Mailing Address - Country:US
Mailing Address - Phone:401-444-5980
Mailing Address - Fax:401-444-3873
Practice Address - Street 1:7 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907-2201
Practice Address - Country:US
Practice Address - Phone:401-621-8200
Practice Address - Fax:917-720-9002
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD130142080A0000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIMD13014OtherLICENSE