Individual
DR. BRIAN THOMAS FOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
162 N CAUSEWAY ST, NORTH MUSKEGON, MI 49445-3302
(231) 744-3700
Mailing address
162 N CAUSEWAY ST, NORTH MUSKEGON, MI 49445-3302
(231) 744-3700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12044
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4048960
—
MI
Enumeration date
06/17/2005
Last updated
07/08/2007
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