Individual
DR. DOUGLAS LEE FOERTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
721 W 13TH ST, #222, JASPER, IN 47546
(812) 634-2737
(812) 482-4558
Mailing address
721 W 13TH ST, #222, JASPER, IN 47546
(812) 634-2737
(812) 482-4558
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01031809A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045145
BCBS KENTUCKY
KY
01
—
000000080275
ANTHEM BLUE CROSS
IN
05
—
100089380
—
IN
01
—
340000600
RAILROAD MEDICARE
—
Enumeration date
04/18/2006
Last updated
12/03/2012
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