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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033302062
—
MN
05
—
10656
—
ND
05
—
146851401
—
TX
Enumeration date
08/22/2007
Last updated
03/29/2022
Update your record
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