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Individual

MARCUS M FIECHTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
715 E BROADWAY AVE STE 110, BISMARCK, ND 58501-4454
(701) 323-6000
(701) 323-6781
Mailing address
PO BOX 5501, BISMARCK, ND 58506-5501
(701) 323-6000
(701) 323-5709

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
3047
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12308
ND
Enumeration date
07/25/2006
Last updated
07/29/2011
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