Individual
DAVID KENT ZETTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 459-3500
(907) 459-3588
Mailing address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 459-3500
(907) 459-3588
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9941
ND
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
4287
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014160
—
AK
Enumeration date
07/19/2005
Last updated
03/07/2023
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