Provider Demographics
NPI:1578670030
Name:MARTIN-FOSTER, CHERYL A (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:A
Last Name:MARTIN-FOSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 S PARK ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-1507
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2690 RESEARCH PARK DR
Practice Address - Street 2:SUITE F
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-4921
Practice Address - Country:US
Practice Address - Phone:608-417-8585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI41536207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
BM3657977OtherDEA NUMBER
F60671Medicare UPIN
BM3657977OtherDEA NUMBER