Individual
RICHARD F FOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9601 TOWNLINE RD, MINOCQUA, WI 54548-1390
(715) 358-1000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26967
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
26967
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPR
—
WI
Enumeration date
09/26/2006
Last updated
05/31/2011
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