Individual
SARA ANN FETYKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
136 N 1ST AVE E, ELY, MN 55731-1203
(612) 207-3660
(218) 242-8409
Mailing address
1133 E WASHINGTON ST, ELY, MN 55731-1707
(612) 207-3660
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1694
MN
Other
Enumeration date
11/08/2013
Last updated
12/06/2024
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