Individual
DR. VICTORIA VAN FOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35064327
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000334071
ANTHEM BC/BS
OH
05
—
2039109
—
OH
01
—
P00211104
RAILROAD MEDICARE
OH
Enumeration date
07/20/2005
Last updated
06/11/2014
Update your record
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