Individual
DR. TAMMY SUE FOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2486 CIMMARON CIR, POCATELLO, ID 83204-7346
(440) 258-0073
Mailing address
59 KAUFFMANS CRK, CLINTON, OH 44216-8657
(330) 529-4015
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
58003533
OH
Other
Enumeration date
08/26/2010
Last updated
10/28/2019
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