Individual
STEVEN GREG FETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5400 MACKINAW RD, STE 6100, SAGINAW, MI 48604
(989) 792-3100
(989) 792-9860
Mailing address
5400 MACKINAW RD, STE 6100, SAGINAW, MI 48604-9515
(989) 792-3100
(989) 792-9860
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301035350
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101258650
—
MI
01
—
P67636
BLUE CARE NETWORK ID #
—
Enumeration date
01/04/2006
Last updated
07/08/2007
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