Provider Demographics
NPI:1811958630
Name:FOST, NORMAN C (MD MPH)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:C
Last Name:FOST
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6413 ANTIETAM LN
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-2519
Mailing Address - Country:US
Mailing Address - Phone:608-218-9155
Mailing Address - Fax:
Practice Address - Street 1:6413 ANTIETAM LN
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-2519
Practice Address - Country:US
Practice Address - Phone:608-218-9155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18702208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics