Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Therese Fornetti, MMSPA-C

Individual provider Physician Assistant · NPI 1760750889

Mrs. Mary Therese Fornetti, MMSPA-C is a Physician Assistant in Iron Mountain, Michigan. Qualified in 2012, 14 years ago. Practices with Aspirus Ironwood Hospital and Clinics Inc, a 162-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2011
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Practice location Address checks out

325 E H St
Iron Mountain, MI 49801-4760
Phone: (906) 774-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2012005497 (MO)

Record details

NPI number1760750889
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMSPA-C
Sole proprietorNo
NPI enumeratedDecember 3, 2011
Last updated in NPPESJune 17, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Aspirus Ironwood Hospital And Clinics Inc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Iron Mountain