Jane E Fossum, MD

NPI #1902814932 in Beloit, Wisconsin

Provider Information

NPI Number: 1902814932
Entity Type: Individual
Name: Jane E Fossum, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Aug 4, 2006
Last Updated: Aug 21, 2007

Practice Location

Address: 1905 HUEBBE PKWY
City: Beloit
State: Wisconsin
ZIP Code: 53511-1842
Phone: (608) 364-2293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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