| Doctor Name: | MRS. CORINNE E FOGLE |
| NPI Number: | 1063403038 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 001334 |
| Business Practice Address: | 303 East St Grinnell, IA - 501122557 |
| Business Phone Number: | 6415272929 |
| Business Fax Number: | 6415272922 |
| Mailing Address: | Po Box 127, 303 East Street GRINNELL |
| State: | IA |
| Postal Code: | 501120127 |
| Phone Number: | 6415272929 |
| Fax Number: | 6415272922 |
| NPI Enumeration Date: | 10/31/2005 |
| NPI Last Update Date: | 06/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 001334 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |