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Individual

DR. K WADE FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PA

Contact information

Practice address
2502 SAND MINE RD, DAVENPORT, FL 33897-3402
(855) 353-7546
(863) 294-2767
Mailing address
2502 SAND MINE RD, DAVENPORT, FL 33897-3402
(855) 353-7546
(863) 294-2767

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
26365
AL
207ND0101X
MOHS-Micrographic Surgery Physician
A98634
CA
207ND0101X
MOHS-Micrographic Surgery Physician
MD433747
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME 100760
FL

Other

Enumeration date
03/03/2006
Last updated
04/06/2020
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