Individual
DR. MICHAEL J FOGGIA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
504 N 9TH AVE, VINTON, IA 52349-2254
(319) 472-6300
(319) 472-6340
Mailing address
1509 NW CALISTA ST, GRIMES, IA 50111-1200
(515) 262-0404
(515) 262-0489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03051
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158297003
—
AR
05
—
200059120A
—
OK
01
—
5N313
AR BCBS
AR
Enumeration date
07/13/2006
Last updated
01/26/2026
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