Individual
DR. JOSEPH PATRICK FETZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6111 W OVERLAND RD, BOISE, ID 83709-3018
(208) 377-0450
Mailing address
10222 SUMMERWIND DR, BOISE, ID 83704-3950
(208) 377-3427
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M3365
ID
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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