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Individual

DR. DANIEL S FOSSELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4018 N HAMPTON DR, POWELL, OH 43065-8431
(614) 618-0017
(614) 635-9229
Mailing address
4018 N HAMPTON DR, POWELL, OH 43065-8431
(614) 618-0017
(614) 635-9229

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34.012407
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
34.012407
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0342372
OH
Enumeration date
06/22/2015
Last updated
07/30/2025
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