Individual
PETER JOHN FECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
545 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-5560
(309) 762-7351
Mailing address
545 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-5560
(309) 762-7351
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209000285
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344565702
—
IL
01
—
430078437
RAILROAD MEDICARE
IL
Enumeration date
06/02/2005
Last updated
02/28/2014
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