Individual
DANIEL ROSS FOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 W MAIN ST STE 304, WILMINGTON, OH 45177-2171
(937) 283-2520
Mailing address
630 W MAIN ST STE 304, WILMINGTON, OH 45177-2171
(937) 283-2520
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.148707
OH
Other
Enumeration date
05/07/2018
Last updated
03/15/2024
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