Individual
DR. TAIT D FORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 W AMERICAN DR STE 100, NEENAH, WI 54956
(920) 886-8979
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 886-8979
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
49453
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649293358
—
WI
01
—
49453-20
STATE MEDICAL LICENSE
WI
Enumeration date
07/25/2006
Last updated
08/26/2025
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