DR. Jeffrey Carl Fosnes, M.D.

NPI #1487609467 in Springfield, Tennessee

Provider Information

NPI Number: 1487609467
Entity Type: Individual
Name: DR. Jeffrey Carl Fosnes, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: May 24, 2006
Last Updated: Nov 20, 2018

Practice Location

Address: 220 NORTHCREST DR
City: Springfield
State: Tennessee
ZIP Code: 37172-3962
Phone: (615) 598-7633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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