Fetter, Marvin R
Fetter, Marvin R is an individual health care provider with primary practice located at 1300 Anne St Nw , Bemidji MN 56601-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Fetter, Marvin R can be contacted via phone (218) 751-9746.Contact Information
Primary practice address
1300 Anne St Nw
Bemidji MN 56601-5103
Phone: (218) 751-9746
Fax: (218) 759-0620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036-045536 | Illinois |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 39401-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 54685 | Minnesota |
Profile Details
| NPI number | 1922090901 |
|---|---|
| LBN Legal business name | Fetter, Marvin R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | May 5th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922090901 | NPPES |
| Wisconsin | MEDICAID | 34444000 | |
| Wisconsin | MEDICAID | 03604536 |
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