Individual
SYD DALE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8965 SCHLITZ RD, WOODRUFF, WI 54568-9604
(715) 358-9855
Mailing address
8965 SCHLITZ RD, WOODRUFF, WI 54568-9604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21680021
WI
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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