Individual
NICHOLAS FETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3015 TOWER AVE, SUPERIOR, WI 54880-5324
(715) 394-5551
Mailing address
600 N 23RD AVE E APT 209, DULUTH, MN 55812-1450
(218) 310-8652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17399-40
WI
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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