Individual
DR. DAVID P FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1012 E 2ND ST, DULUTH, MN 55805-2200
(218) 249-6360
(218) 249-6370
Mailing address
1012 E 2ND ST, DULUTH, MN 55805-2200
(218) 249-6360
(218) 249-6370
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
51578
MN
207X00000X
Orthopaedic Surgery Physician
MD22549
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200038407
RAILROAD MEDICARE
OR
05
—
288273
—
OR
Enumeration date
04/26/2006
Last updated
12/04/2020
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