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MICHAEL RYAN FETTER DC NPI 1518612837


NPI Information

NPI: 1518612837
Provider Name: MICHAEL RYAN FETTER, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
N110 BRUX RD
APPLETON, WI
ZIP 54915
Phone: (920) 968-0464
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Michael Ryan Fetter, DC is a chiropractor in Appleton, WI with 20 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Michael Ryan Fetter, DC NPI is 1518612837. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year:2004

The provider's business location address is:

N110 BRUX RD
APPLETON, WI
ZIP 54915-439
Phone: (920) 968-0464
Fax: (920) 968-0482

The enumeration date for this NPI number is 2/15/2022 and was last updated on 2/15/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor5725-12WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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