Richard F Fossen MD

NPI 1104927896 - Internal Medicine - 207RG0300X

NPI Details
NPI 1104927896
Gender Male
Enumeration Date 09/26/2006
Last Updated 05/31/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
9601 TOWNLINE RD
MINOCQUA WI, 54548-1390, US
Phone (715) 358-1000
Fax
Business Location
1000 N OAK AVE
MARSHFIELD WI, 54449-5703, US
Phone (715) 387-5511
Fax
Toxanomy
Taxonomy Code 207RG0300X
License State Wisconsin
License Number 26967
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According to our database, Richard F Fossen MD NPI is 1104927896, taxonomy code is 207RG0300X and license number is 26967, license state is located at Wisconsin. Richard F Fossen MD physically located at 9601 Townline Rd, Minocqua WI, 54548-1390. NPI Number Richard F Fossen MD has the Individual type.

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1104927896 NPI number is provided on an as is basis without warranty of any kind. 1104927896 is maintained by the National Plan & Provider Enumeration System. The contents of Richard F Fossen MD are for informational purposes only.