Michael Fossum is a Rehabilitation in Mesa, Arizona. Michael Fossum practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Michael Fossum is 1790991958. The last update date is 2007-07-08.
Michael Fossum's current location address is 1830 S Alma School Rd Ste 116, Mesa, Arizona. You can contact this provider via phone number 4802225169 and fax number 4802225163. The mailing address for Michael Fossum is 1830 S Alma School Rd Ste 116, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Fossum |
|---|---|
| Address | 1830 S Alma School Rd Ste 116, Mesa, Arizona |
| Phone Number | 4802225169 |
| Fax Number | 4802225163 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1790991958 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1830 S Alma School Rd Ste 116 |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852103086 |
| Phone Number | 4802225169 |
| Fax Number | 4802225163 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 111Nr0400X |
| Licence No | 7027 |
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Definition: Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an |
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What is the unique 10-digit identifier code assigned to Michael Fossum by the Centers for Medicare & Medicaid Services?
The Michael Fossum has been issued the NPI (National Provider Identifier) 1790991958 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Michael Fossum?
The Michael Fossum is physically situated at 1830 S Alma School Rd Ste 116, in the city of Mesa, state of AZ, with the postal code 852103086.
What is the area of specialization for Michael Fossum, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Fossum is Rehabilitation, and the corresponding taxonomy code that categorizes this area of expertise is 111Nr0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790991958 to Michael Fossum?
The Centers for Medicare & Medicaid Services assigned the 1790991958 to Michael Fossum on 2007-05-15.
As of what date were the Michael Fossum's details last updated?
The information pertaining to the Michael Fossum, including its address, specialty, and other details, was most recently updated on 2007-07-08.