Individual
DYLAN J FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-7330
Mailing address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-7330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2712
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38602900
—
WI
Enumeration date
09/13/2005
Last updated
08/30/2008
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