Provider Demographics
NPI:1528148640
Name:STEVEN J. FORCHE, M.D., P.C.
Entity type:Organization
Organization Name:STEVEN J. FORCHE, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FORCHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-553-2900
Mailing Address - Street 1:32905 W 12 MILE RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3342
Mailing Address - Country:US
Mailing Address - Phone:248-553-2900
Mailing Address - Fax:248-553-7546
Practice Address - Street 1:32905 W 12 MILE RD
Practice Address - Street 2:SUITE 330
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3342
Practice Address - Country:US
Practice Address - Phone:248-553-2900
Practice Address - Fax:248-553-7546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301052639207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty