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Individual

DR. TRICIA K FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1953 WATERFALL DR STE A, NAPPANEE, IN 46550-8961
(574) 773-4101
Mailing address
1953 WATERFALL DR STE A, NAPPANEE, IN 46550-8961

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002320A
IN
2083X0100X
Occupational Medicine Physician
02002320A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300010012
IN
Enumeration date
05/01/2007
Last updated
03/18/2024
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