Individual
WILLIAM A NETTEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 S. NORTON ST, MARION, IN 46952-3200
(765) 573-6656
(765) 573-6659
Mailing address
220 S NORTON ST, MARION, IN 46952-3200
(765) 573-6656
(765) 573-6659
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01048532
IN
207L00000X
Anesthesiology Physician
Primary
01048532A
IN
208VP0000X
Pain Medicine Physician
01048532A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200191360
—
IN
Enumeration date
08/07/2006
Last updated
10/25/2016
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