Individual provider · Type 1 NPI

Amy Fossum

Other Technician · Moorhead, MN

NPI number 1356835151 Active

Practice location

12109 15th St NW
Moorhead, MN 56560-7205

Call (701) 367-7770 Map

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1356835151

Amy Fossum's National Provider Identifier is 1356835151, issued on Jun 15, 2018. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Moorhead, MN. The record was last updated on Nov 18, 2021.