Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Erik S Fossum, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396062899

Erik S Fossum, MD is a Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1701 N Senate Blvd Rm DG412
Indianapolis, IN 46202-1239
Phone: (317) 962-3886
Fax: (317) 963-5492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 01070394A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396062899
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2010
Last updated in NPPESJuly 10, 2013

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