MR. SEMA JUSTUS FOFUNG D.O. NPI 1922155563

NPI Information

MR. Sema Justus Fofung, D.O. is a specialist in Wauseon, OH with 27 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Sema Justus Fofung, D.O. NPI is 1922155563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduation Year:1997

The provider's business location address is:

735 SOUTH SHOOP AVENUE
SUITE 3
WAUSEON, OH
ZIP 43567
Phone: (419) 335-6377
Fax: (419) 335-6807

The NPI 1922155563 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 1/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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