Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARION ARTHUR FOSSUM, MD
ActiveMARION ARTHUR FOSSUM, MD is a Neurology healthcare provider located in MEDICAL LAKE, Washington. NPI 1356875736 is currently active in the NPPES registry. Verify at CMS.
Neurology · MEDICAL LAKE, WA
Registration Details
- NPI Number
- 1356875736
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2017 (9.3839568088438 yrs)
- Last Updated
- Oct 16, 2025
- Licenses
-
33801 (MS)83574-20 (WI)2024012104 (MO)61254901 (WA)2024-00610 (NC)
Practice Information
- Address
-
1717 S RITCHEY RDMEDICAL LAKE, WA, 990228792Browse WA providers · Browse ZIP 99022
- Phone
- 5095908766
- Primary Specialty
-
Neurology
2084N0400X
- Additional Specialty
- Neurology
- Additional Specialty
- Neurology
- Additional Specialty
- Neurology
- Additional Specialty
- Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.