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Individual

DR. DOUGLAS LEE FOERTSCH

Active
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Individual

DR. DOUGLAS LEE FOERTSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01031809A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045145
BCBS KENTUCKY
KY
01
—
000000080275
ANTHEM BLUE CROSS
IN
05
—
100089380
—
IN
01
—
340000600
RAILROAD MEDICARE
—
Enumeration date
04/18/2006
Last updated
12/03/2012
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