Individual provider · Type 1 NPI

Eric David Vanfossen, PA-C

Medical Physician Assistant · Sidney, OH

NPI number 1083754287 Active

Practice location

1205 Fairington Dr
Sidney, OH 45365-8144

Mailing address

21039 Geyer Dr
Wapakoneta, OH 45895-8815

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0805 (OH)

Medical Physician Assistant: Definition to come...

4 other providers at this address

About NPI 1083754287

Eric David Vanfossen, PA-C's National Provider Identifier is 1083754287, issued on Feb 7, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sidney, OH. The record was last updated on Dec 2, 2020.