Individual
WILLIAM JOHN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTIONER
Contact information
Practice address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(574) 272-9000
(574) 272-9305
Mailing address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(574) 272-9000
(574) 272-9305
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28114875A
IN
Other
Enumeration date
02/09/2013
Last updated
08/27/2021
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