Individual
DANIEL LEE FETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1210 W 18TH ST STE LL03, SIOUX FALLS, SD 57104-4654
(605) 328-1410
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(053) 286-5856
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14192
SD
2085R0202X
Diagnostic Radiology Physician
148256
CA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/02/2015
Last updated
08/14/2023
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