Individual
MR. JAMIE MARK FETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
110 S MADISON ST, ADRIAN, MI 49221-2518
(517) 264-3969
(517) 264-3869
Mailing address
1431 ARGYLE DR, ADRIAN, MI 49221-1821
(517) 265-3726
(517) 264-3869
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
L2070504
MI
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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