Individual
JAMES PATRICK FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
902 WEST MAIN STREET, CAMERON, WI 54822-0144
(715) 458-3124
(715) 458-3125
Mailing address
P.O. BOX 144, CAMERON, WI 54822-0144
(715) 458-3124
(715) 458-3125
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
18691
WI
363L00000X
Nurse Practitioner
Primary
1673
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21288500
—
WI
Enumeration date
09/15/2005
Last updated
09/19/2024
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