Healthcare Provider Details

I. General information

NPI: 1851516009
Provider Name (Legal Business Name): STANLEY A. FORFA D.O., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2007
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51341 W HURON RIVER DR
VAN BUREN TOWNSHIP MI
48111-2571
US

IV. Provider business mailing address

24 FRANK LLOYD WRIGHT DR STE J2000
ANN ARBOR MI
48105-9484
US

V. Phone/Fax

Practice location:
  • Phone: 734-997-0304
  • Fax: 734-997-0305
Mailing address:
  • Phone: 734-747-6766
  • Fax: 734-222-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101016495
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: