Individual
MATHIAS H FETTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3419 CENTRAL AVE, STE B, BILLINGS, MT 59102-6647
(406) 245-0888
(406) 245-1322
Mailing address
3419 CENTRAL AVE, STE B, BILLINGS, MT 59102-6647
(406) 245-0888
(406) 245-1322
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01017556
UNITED HEALTHCARE
MT
05
—
0390762
—
MT
01
—
80
STATE LICENSE
MT
01
—
94500
BCBS
MT
01
—
P00062610
RAILROAD MEDICARE
MT
Enumeration date
02/01/2006
Last updated
05/25/2010
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