NPI 1356835151

Amy Fossum

Practitioner Other Technician Moorhead, MN

Practice location

Address: 12109 15th St NW, Moorhead, MN 56560-7205
Phone: (701) 367-7770

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Minnesota →

Registry record

NPI: 1356835151
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2018
Record last updated: 18 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.