Individual
DOUGLAS D FOSSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 W SCHROCK RD, SUITE 110, WESTERVILLE, OH 43081-8702
(614) 882-0708
(614) 882-2878
Mailing address
555 W SCHROCK RD, SUITE 110, WESTERVILLE, OH 43081-8702
(614) 882-0708
(614) 882-2878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-04-9664
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0605090
—
OH
Enumeration date
11/28/2005
Last updated
03/15/2011
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