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Individual

ERIK GLENN FETNER

Active
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Individual

ERIK GLENN FETNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
11255
ND
208C00000X
Colon & Rectal Surgery Physician
K2328
TX

Other

Enumeration date
08/22/2007
Last updated
03/29/2022
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